This log is also available as text (s24923.txt) and as a (binary) annotation file (s24923.log).
Generated: Monday, 07-Jun-2010 13:20:43 EDT
(All dates below are surrogates.)
t0: [23:03:03 23/10/2008] tf: [05:45:00 09/11/2008] id: a40234 [view]
t0: [21:23:59 23/10/2008] tf: [07:09:59 09/11/2008] id: a40234n [view]
dd: 7804 ds: 1 ld: DIZZINESS AND GIDDINESS dd: 78703 ds: 2 ld: VOMITING ALONE
dd: 25000 ds: 7 ld: DIABETES MELLITUS W/OUT dd: 34290 ds: 5 ld: UNSPEC HEMIPLEGIS UNSPEC dd: 4019 ds: 3 ld: HYPERTENSION NOS dd: 4019 ds: 6 ld: HYPERTENSION NOS dd: 42731 ds: 2 ld: ATRIAL FIBRILLATION dd: 42731 ds: 3 ld: ATRIAL FIBRILLATION dd: 43311 ds: 2 ld: OCCLU CAROTID W/ INFARCT dd: 43411 ds: 1 ld: CERE EMBOL W/ CERE INFAR dd: 43491 ds: 1 ld: CER ART OCCL W/ CER INFA dd: 5990 ds: 4 ld: URIN TRACT INFECTION NOS dd: V5861 ds: 8 ld: LONG-TERM USE ANTICOAGUL
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: MICU-A cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
tf: [14:13:00 17/12/2008] dt: 24015 cu: MICU-A di: No Disch Status
t0: [21:51:00 30/11/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [21:51:00 30/11/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [21:51:00 30/11/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [21:51:00 30/11/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 490 u1: mmHg rs: Final st: NotStopd t0: [21:51:00 30/11/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 75 ru: ml/hr
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [23:00:00 30/11/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.8095 u1: ml/cmH st: NotStopd t0: [23:00:00 30/11/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [23:00:00 30/11/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [23:00:00 30/11/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [23:00:00 30/11/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [23:00:00 30/11/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [23:00:00 30/11/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [23:00:00 30/11/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [23:00:00 30/11/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [23:00:00 30/11/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [23:00:00 30/11/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [23:00:00 30/11/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: cmH2O st: NotStopd t0: [23:00:00 30/11/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.5 u1: L/min st: NotStopd t0: [23:00:00 30/11/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [23:00:00 30/11/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [23:00:00 30/11/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [23:00:00 30/11/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [23:00:00 30/11/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [23:00:00 30/11/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [23:00:00 30/11/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [23:00:00 30/11/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [23:00:00 30/11/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [23:00:00 30/11/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [23:00:00 30/11/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 30/11/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [23:00:00 30/11/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [23:00:00 30/11/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [23:00:00 30/11/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [23:00:00 30/11/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 30/11/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 94 u1: BPM st: NotStopd t0: [23:00:00 30/11/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 30/11/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [23:00:00 30/11/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [23:00:00 30/11/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [23:00:00 30/11/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [23:00:00 30/11/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [23:00:00 30/11/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Wrist v2: 20 gauge st: NotStopd t0: [23:00:00 30/11/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [23:00:00 30/11/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [23:00:00 30/11/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [23:00:00 30/11/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 178 u1: mmHg v2: 128 u2: mmHg st: NotStopd t0: [23:00:00 30/11/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 144.667 u1: mmHg st: NotStopd t0: [23:00:00 30/11/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [23:00:00 30/11/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [23:00:00 30/11/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Rectal st: NotStopd t0: [23:00:00 30/11/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [23:00:00 30/11/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [23:00:00 30/11/2008] id: Daily Weight el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd
t0: [23:25:00 30/11/2008] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 1.51832 u1: m2 t0: [23:25:00 30/11/2008] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 51.7 u1: kg t0: [23:25:00 30/11/2008] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [23:25:00 30/11/2008] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: MCA STOKE S/P THROMBOLYSIS t0: [23:25:00 30/11/2008] id: Service el: 1026 cu: MICU-A cg: -1 v1: NME t0: [23:25:00 30/11/2008] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 62 u1: inches t0: [23:25:00 30/11/2008] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [23:25:00 30/11/2008] id: Marital Status el: 1006 cu: MICU-A cg: -1 t0: [23:25:00 30/11/2008] id: Religion el: 1000 cu: MICU-A cg: -1 v1: JEW t0: [23:25:00 30/11/2008] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [23:25:00 30/11/2008] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [23:25:00 30/11/2008] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [23:25:00 30/11/2008] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [23:00:00 30/11/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 30/11/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [23:00:00 30/11/2008] id: Manual BP el: 0 cu: MICU-A cg: RN v1: 182 u1: mmHg v2: 98 u2: mmHg st: NotStopd t0: [23:00:00 30/11/2008] id: Manual BP Mean(calc) el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg st: NotStopd
t0: [23:30:00 30/11/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:30:00 30/11/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [23:30:00 30/11/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:30:00 30/11/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:30:00 30/11/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:30:00 30/11/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [23:30:00 30/11/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [23:30:00 30/11/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [23:30:00 30/11/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [23:30:00 30/11/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [23:30:00 30/11/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:30:00 30/11/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [23:30:00 30/11/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:30:00 30/11/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [23:30:00 30/11/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [23:30:00 30/11/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [23:30:00 30/11/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [23:30:00 30/11/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [23:30:00 30/11/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [23:30:00 30/11/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [23:30:00 30/11/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [23:30:00 30/11/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [23:30:00 30/11/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [23:30:00 30/11/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [23:30:00 30/11/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [23:30:00 30/11/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 178 u1: mmHg v2: 128 u2: mmHg st: NotStopd t0: [23:30:00 30/11/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 144.667 u1: mmHg st: NotStopd t0: [23:30:00 30/11/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [23:30:00 30/11/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [23:30:00 30/11/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:30:00 30/11/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [23:30:00 30/11/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [23:30:00 30/11/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [23:30:00 30/11/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:30:00 30/11/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:30:00 30/11/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [23:30:00 30/11/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:30:00 30/11/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [23:30:00 30/11/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [23:30:00 30/11/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [23:30:00 30/11/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [23:30:00 30/11/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [23:30:00 30/11/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [23:30:00 30/11/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:30:00 30/11/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [23:30:00 30/11/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [23:30:00 30/11/2008] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [23:30:00 30/11/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [23:30:00 30/11/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:30:00 30/11/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [23:30:00 30/11/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [23:30:00 30/11/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [23:30:00 30/11/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [23:30:00 30/11/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [23:30:00 30/11/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [23:30:00 30/11/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [23:30:00 30/11/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [23:30:00 30/11/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [23:00:00 30/11/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [23:00:00 30/11/2008] tf: [08:00:00 02/12/2008] dt: 1980 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 350 vu: ml
t0: [23:00:00 30/11/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 350 cv: 350 ap: none t0: [23:00:00 30/11/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -350 cv: -350 ap: none t0: [23:00:00 30/11/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 0 cv: 0 ap: none t0: [23:00:00 30/11/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 0 cv: 0 ap: none t0: [23:00:00 30/11/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 350 cv: 350 ap: none t0: [23:00:00 30/11/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -350 cv: -350 ap: none t0: [23:00:00 30/11/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 350 cv: 350 ap: none t0: [23:00:00 30/11/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -350 cv: -350 ap: none
t0: [00:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [00:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [00:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89.3333 u1: mmHg st: NotStopd t0: [00:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [00:00:00 01/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 01/12/2008] tf: [11:00:00 10/12/2008] dt: 13620 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 75 vu: ml t0: [00:00:00 01/12/2008] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [23:00:00 01/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 01/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 01/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 2470 ap: none t0: [23:00:00 01/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2580 ap: none t0: [23:00:00 01/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 2900 ap: none t0: [23:00:00 01/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: -320 ap: none t0: [23:00:00 01/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 2900 ap: none t0: [23:00:00 01/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -1065 ap: none
t0: [00:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 01/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd
t0: [01:00:00 01/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 117 rs: Manual st: NotStopd
t0: [23:00:00 30/11/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 30/11/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:00:00 30/11/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [23:00:00 30/11/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [23:00:00 30/11/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [23:00:00 30/11/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [23:00:00 30/11/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [23:00:00 30/11/2008] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:00:00 30/11/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Nonreactive st: NotStopd t0: [23:00:00 30/11/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [23:00:00 30/11/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [23:00:00 30/11/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [23:00:00 30/11/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [23:00:00 30/11/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [01:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [01:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 163 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [01:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 104.333 u1: mmHg st: NotStopd t0: [01:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [01:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [02:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [02:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 90.3333 u1: mmHg st: NotStopd t0: [02:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [02:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 01/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 01/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [03:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 01/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 01/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [03:00:00 01/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [03:00:00 01/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [03:00:00 01/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [03:00:00 01/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [03:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [03:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 01/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [03:00:00 01/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [03:00:00 01/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [03:00:00 01/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [03:00:00 01/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [03:00:00 01/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [03:00:00 01/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [03:00:00 01/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 01/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 01/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 01/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [03:00:00 01/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 01/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [03:00:00 01/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [03:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [03:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [03:00:00 01/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [03:00:00 01/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 01/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [03:00:00 01/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Nonreactive st: NotStopd t0: [03:00:00 01/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [03:00:00 01/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 01/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 01/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 01/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 01/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [03:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 01/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [03:00:00 01/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [03:00:00 01/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 01/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [03:00:00 01/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 01/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [03:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 01/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [03:00:00 01/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [03:00:00 01/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 01/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [03:00:00 01/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [03:00:00 01/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [03:00:00 01/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [03:00:00 01/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [03:00:00 01/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [03:00:00 01/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [03:00:00 01/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [03:00:00 01/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [03:00:00 01/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.5 u1: Deg. F st: NotStopd
t0: [03:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 225 vu: ml t0: [03:00:00 01/12/2008] tf: [14:13:00 17/12/2008] dt: 23713 id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 380 vu: ml
t0: [04:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [04:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 164 u1: mmHg v2: 103 u2: mmHg st: NotStopd t0: [04:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 123.333 u1: mmHg st: NotStopd t0: [04:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [04:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 01/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.09 rs: Final st: NotStopd
t0: [03:54:00 01/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 38.2 u1: % rs: Final st: NotStopd t0: [03:54:00 01/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.9 u1: gm/dl rs: Final st: NotStopd t0: [03:54:00 01/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 293 rs: Final st: NotStopd t0: [03:54:00 01/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.54 u1: /mic l rs: Final st: NotStopd t0: [03:54:00 01/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.7 rs: Final st: NotStopd
t0: [04:00:00 01/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 33.3333 u1: ml/cmH st: NotStopd t0: [04:00:00 01/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 01/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 01/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 01/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [04:00:00 01/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3.5 st: NotStopd t0: [04:00:00 01/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [04:00:00 01/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 01/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 u1: Deg. C st: NotStopd t0: [04:00:00 01/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [04:00:00 01/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [04:00:00 01/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 01/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 8.4 u1: cmH2O st: NotStopd t0: [04:00:00 01/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 7 u1: L/min st: NotStopd t0: [04:00:00 01/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 01/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [04:00:00 01/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 01/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 15.4 u1: cmH2O st: NotStopd t0: [04:00:00 01/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:00:00 01/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [04:00:00 01/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [04:00:00 01/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [04:00:00 01/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 01/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [04:00:00 01/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 01/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [04:00:00 01/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 01/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [03:54:00 01/12/2008] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:54:00 01/12/2008] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:54:00 01/12/2008] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 26.8 rs: Final st: NotStopd
t0: [03:54:00 01/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [03:54:00 01/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [03:54:00 01/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [03:54:00 01/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [03:54:00 01/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 114 rs: Final st: NotStopd t0: [03:54:00 01/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [03:54:00 01/12/2008] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [03:54:00 01/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [03:54:00 01/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [05:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [05:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 88.6667 u1: mmHg st: NotStopd t0: [05:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [05:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [05:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 01/12/2008] tf: [14:13:00 17/12/2008] dt: 23773 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [05:00:00 01/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [05:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [05:00:00 01/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 600 vu: ml
t0: [07:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 107 u1: BPM st: NotStopd t0: [07:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 163 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [07:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 103.667 u1: mmHg st: NotStopd t0: [07:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [07:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [07:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 107 u1: BPM st: NotStopd t0: [08:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 170 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [08:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg st: NotStopd t0: [08:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [08:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [08:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 01/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Rectal st: NotStopd t0: [08:00:00 01/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.2222 u1: Deg. C st: NotStopd t0: [08:00:00 01/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.8 u1: Deg. F st: NotStopd t0: [08:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 150 vu: ml t0: [08:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [08:00:00 01/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 350 vu: ml
t0: [08:00:00 01/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [08:00:00 01/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 01/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 01/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 01/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 01/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.5 st: NotStopd t0: [08:00:00 01/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 01/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 01/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 01/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [08:00:00 01/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [08:00:00 01/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 01/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8.4 u1: cmH2O st: NotStopd t0: [08:00:00 01/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.6 u1: L/min st: NotStopd t0: [08:00:00 01/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 01/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [08:00:00 01/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 01/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [08:00:00 01/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 01/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 01/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 01/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 01/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 01/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [08:00:00 01/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 01/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 01/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 01/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [07:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 96 u1: BPM st: NotStopd t0: [09:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 144 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [09:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [09:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [09:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [09:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [09:00:00 01/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 90 vu: ml
t0: [10:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 106 u1: BPM st: NotStopd t0: [10:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [10:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 110.667 u1: mmHg st: NotStopd t0: [10:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [10:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [10:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 01/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [10:00:00 01/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.8889 u1: Deg. C st: NotStopd t0: [10:00:00 01/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.2 u1: Deg. F st: NotStopd t0: [10:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 01/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [10:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [10:00:00 01/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 120 vu: ml
id: Neosynephrine el: 100 cu: MICU-A cg: -1 io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions am: 60 du: mcgmin rt: IV Drip
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [10:05:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:05:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:05:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:05:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 121 u1: BPM st: NotStopd t0: [10:05:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:05:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [10:05:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 89.3333 u1: mmHg st: NotStopd t0: [10:05:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [10:05:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [10:05:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:05:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:10:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:10:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:10:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:10:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 115 u1: BPM st: NotStopd t0: [10:10:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:10:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 95 u2: mmHg st: NotStopd t0: [10:10:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 101.333 u1: mmHg st: NotStopd t0: [10:10:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [10:10:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [10:10:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:10:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:15:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:15:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:15:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:15:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 111 u1: BPM st: NotStopd t0: [10:15:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:15:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 133 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [10:15:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 104.333 u1: mmHg st: NotStopd t0: [10:15:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [10:15:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [10:15:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:15:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:25:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:25:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:25:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:25:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 106 u1: BPM st: NotStopd t0: [10:25:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:25:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [10:25:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 82.3333 u1: mmHg st: NotStopd t0: [10:25:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [10:25:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [10:25:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:25:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:30:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:30:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:30:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:30:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 93 u1: BPM st: NotStopd t0: [10:30:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:30:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 141 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [10:30:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 106.333 u1: mmHg st: NotStopd t0: [10:30:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [10:30:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [10:30:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:30:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:35:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:35:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:35:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:35:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 84 u1: BPM st: NotStopd t0: [10:35:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:35:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 156 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [10:35:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 113.333 u1: mmHg st: NotStopd t0: [10:35:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [10:35:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [10:35:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:35:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:40:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:40:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:40:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:40:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 98 u1: BPM st: NotStopd t0: [10:40:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:40:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 152 u1: mmHg v2: 109 u2: mmHg st: NotStopd t0: [10:40:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 123.333 u1: mmHg st: NotStopd t0: [10:40:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [10:40:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [10:40:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:40:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:45:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:45:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:45:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:45:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 106 u1: BPM st: NotStopd t0: [10:45:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:45:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 141 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [10:45:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 106.333 u1: mmHg st: NotStopd t0: [10:45:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [10:45:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [10:45:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:45:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:50:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:50:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:50:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:50:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 110 u1: BPM st: NotStopd t0: [10:50:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:50:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 146 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [10:50:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 88.6667 u1: mmHg st: NotStopd t0: [10:50:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [10:50:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [10:50:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:50:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:55:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:55:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:55:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:55:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 112 u1: BPM st: NotStopd t0: [10:55:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:55:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 143 u1: mmHg v2: 113 u2: mmHg st: NotStopd t0: [10:55:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg st: NotStopd t0: [10:55:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [10:55:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [10:55:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:55:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:25:00 01/12/2008] tf: [08:00:00 07/12/2008] dt: 8495 id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 12.5 vu: ml nb: 1
t0: [10:25:00 01/12/2008] tf: [08:40:00 06/12/2008] dt: 7095 id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:35:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:40:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:45:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:50:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:55:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 106 u1: BPM st: NotStopd t0: [11:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 144 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [11:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 98.6667 u1: mmHg st: NotStopd t0: [11:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [11:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [11:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 01/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [11:00:00 01/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.4444 u1: Deg. C st: NotStopd t0: [11:00:00 01/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101.2 u1: Deg. F st: NotStopd t0: [11:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [11:00:00 01/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [11:00:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:30:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:30:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 111 u1: BPM st: NotStopd t0: [11:30:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 145 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [11:30:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [11:30:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [11:30:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [11:30:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [11:30:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:30:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 75 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 96 u1: BPM st: NotStopd t0: [12:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 145 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [12:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 97.6667 u1: mmHg st: NotStopd t0: [12:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [12:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [12:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 01/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 01/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.3889 u1: Deg. C st: NotStopd t0: [12:00:00 01/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101.1 u1: Deg. F st: NotStopd t0: [12:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 01/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 123 rs: Manual st: NotStopd t0: [12:05:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:05:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [12:05:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [12:05:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 103 u1: BPM st: NotStopd t0: [12:05:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [12:05:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 151 u1: mmHg v2: 102 u2: mmHg st: NotStopd t0: [12:05:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 118.333 u1: mmHg st: NotStopd t0: [12:05:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [12:05:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:05:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [12:05:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [12:00:00 01/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 31.2 vu: ml t0: [12:00:00 01/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [12:00:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 125 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:05:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 75 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 01/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [12:00:00 01/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 01/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 01/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 01/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 01/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.0 st: NotStopd t0: [12:00:00 01/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 01/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 01/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [12:00:00 01/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [12:00:00 01/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [12:00:00 01/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 01/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [12:00:00 01/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.32 u1: L/min st: NotStopd t0: [12:00:00 01/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 01/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [12:00:00 01/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [12:00:00 01/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [12:00:00 01/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:00:00 01/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [12:00:00 01/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [12:00:00 01/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 01/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 01/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [12:00:00 01/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 01/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 01/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [12:00:00 01/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [11:50:00 01/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [11:50:00 01/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:50:00 01/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [11:50:00 01/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:50:00 01/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [11:50:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [11:50:00 01/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [11:50:00 01/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
id: Impact w/fiber el: 1 cu: MICU-A cg: -1 io: Impact w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [13:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 107 u1: BPM st: NotStopd t0: [13:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 156 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [13:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 92.6667 u1: mmHg st: NotStopd t0: [13:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [13:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [13:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 01/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 12.5 vu: ml t0: [13:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [13:00:00 01/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 31.2 vu: ml t0: [13:00:00 01/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [13:00:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 125 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 01/12/2008] tf: [15:00:00 01/12/2008] dt: 120 id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml nb: 1
t0: [14:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 106 u1: BPM st: NotStopd t0: [14:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 153 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [14:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 110.333 u1: mmHg st: NotStopd t0: [14:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [14:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [14:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 01/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [14:00:00 01/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.6667 u1: Deg. C st: NotStopd t0: [14:00:00 01/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101.6 u1: Deg. F st: NotStopd t0: [14:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [14:00:00 01/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 31.2 vu: ml t0: [14:00:00 01/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 01/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [14:00:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 125 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 102 u1: BPM st: NotStopd t0: [15:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 155 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [15:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 112.333 u1: mmHg st: NotStopd t0: [15:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [15:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [15:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [15:00:00 01/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 vu: ml t0: [15:00:00 01/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 200 vu: ml
t0: [15:00:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 125 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 01/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 01/12/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [07:00:00 01/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [07:00:00 01/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [07:00:00 01/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [07:00:00 01/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [07:00:00 01/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [07:00:00 01/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [07:00:00 01/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [07:00:00 01/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [07:00:00 01/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [07:00:00 01/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [07:00:00 01/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [07:00:00 01/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [07:00:00 01/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [07:00:00 01/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [07:00:00 01/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [07:00:00 01/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts and Holds st: NotStopd t0: [07:00:00 01/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [07:00:00 01/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [07:00:00 01/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed st: NotStopd t0: [07:00:00 01/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [07:00:00 01/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [07:00:00 01/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [07:00:00 01/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [07:00:00 01/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 01/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 01/12/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 01/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 01/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 01/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: -1 v1: Positive v2: 5-7 st: NotStopd t0: [08:00:00 01/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 01/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 01/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 01/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 01/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 01/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 01/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 01/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [08:00:00 01/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 01/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 01/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 01/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 01/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 01/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 01/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 01/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 01/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 01/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 01/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed st: NotStopd t0: [08:00:00 01/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [08:00:00 01/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 01/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 01/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 01/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 01/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [12:00:00 01/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 01/12/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 01/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [12:00:00 01/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 01/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 01/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 01/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 01/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 01/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 01/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 01/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 01/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [12:00:00 01/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 01/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 01/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 01/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 01/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 01/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 01/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 01/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 01/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 01/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 01/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed st: NotStopd t0: [12:00:00 01/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [12:00:00 01/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 01/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 01/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 01/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 01/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd
t0: [16:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 90 u1: BPM st: NotStopd t0: [16:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 158 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [16:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg st: NotStopd t0: [16:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [16:00:00 01/12/2008] id: Radiologic Study el: 0 cu: MICU-A cg: -1 v1: CT scan st: NotStopd t0: [16:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [16:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 01/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Rectal st: NotStopd t0: [16:00:00 01/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.8889 u1: Deg. C st: NotStopd t0: [16:00:00 01/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 102 u1: Deg. F st: NotStopd t0: [16:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 01/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 31.2 vu: ml t0: [16:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [16:00:00 01/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 31.2 vu: ml t0: [16:00:00 01/12/2008] tf: [02:00:00 04/12/2008] dt: 3480 id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 01/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 300 vu: ml
t0: [16:00:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 125 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 01/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 01/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [09:00:00 01/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 01/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [09:00:00 01/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [09:00:00 01/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [09:00:00 01/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [09:00:00 01/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [09:00:00 01/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [09:00:00 01/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [09:00:00 01/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [09:00:00 01/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [09:00:00 01/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [09:00:00 01/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts and Holds st: NotStopd t0: [09:00:00 01/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed st: NotStopd t0: [09:00:00 01/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [09:00:00 01/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Nonpurposeful st: NotStopd t0: [09:00:00 01/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 01/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 01/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [10:00:00 01/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [10:00:00 01/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 01/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [10:00:00 01/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [10:00:00 01/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [10:00:00 01/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [10:00:00 01/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [10:00:00 01/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [10:00:00 01/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [10:00:00 01/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts and Holds st: NotStopd t0: [10:00:00 01/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed st: NotStopd t0: [10:00:00 01/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [10:00:00 01/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Nonpurposeful st: NotStopd t0: [10:00:00 01/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [11:00:00 01/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 01/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [11:00:00 01/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [11:00:00 01/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [11:00:00 01/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [11:00:00 01/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [11:00:00 01/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [11:00:00 01/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [11:00:00 01/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [11:00:00 01/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [11:00:00 01/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [11:00:00 01/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [11:00:00 01/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [11:00:00 01/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [11:00:00 01/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [11:00:00 01/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [11:00:00 01/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [11:00:00 01/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [11:00:00 01/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts and Holds st: NotStopd t0: [11:00:00 01/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [11:00:00 01/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [11:00:00 01/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed st: NotStopd t0: [11:00:00 01/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [11:00:00 01/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [11:00:00 01/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [11:00:00 01/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [11:00:00 01/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [11:00:00 01/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [12:00:00 01/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [13:00:00 01/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 01/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [13:00:00 01/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [13:00:00 01/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [13:00:00 01/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [13:00:00 01/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [13:00:00 01/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [13:00:00 01/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [13:00:00 01/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [13:00:00 01/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [13:00:00 01/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [13:00:00 01/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts and Holds st: NotStopd t0: [13:00:00 01/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed st: NotStopd t0: [13:00:00 01/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [13:00:00 01/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [13:00:00 01/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 01/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 01/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [14:00:00 01/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [14:00:00 01/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 01/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [14:00:00 01/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [14:00:00 01/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [14:00:00 01/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [14:00:00 01/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [14:00:00 01/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [14:00:00 01/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [14:00:00 01/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts and Holds st: NotStopd t0: [14:00:00 01/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [14:00:00 01/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [14:00:00 01/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 01/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 01/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [15:00:00 01/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [15:00:00 01/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [15:00:00 01/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [15:00:00 01/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [15:00:00 01/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [15:00:00 01/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [15:00:00 01/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [15:00:00 01/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [15:00:00 01/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts and Holds st: NotStopd t0: [15:00:00 01/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [15:00:00 01/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [15:00:00 01/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 01/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 01/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [16:00:00 01/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 01/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 01/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 01/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 01/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [16:00:00 01/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 01/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [16:00:00 01/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 01/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 01/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts and Holds st: NotStopd t0: [16:00:00 01/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 01/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [16:00:00 01/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 01/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd
t0: [17:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 94 u1: BPM st: NotStopd t0: [17:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 136 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [17:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 88.6667 u1: mmHg st: NotStopd t0: [17:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [17:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [17:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [17:00:00 01/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 37.5 vu: ml t0: [17:00:00 01/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 01/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [17:00:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 150 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 01/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml
t0: [17:00:00 01/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 01/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [17:00:00 01/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [17:00:00 01/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [17:00:00 01/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [17:00:00 01/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [17:00:00 01/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [17:00:00 01/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [17:00:00 01/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [17:00:00 01/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [17:00:00 01/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd
t0: [18:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 107 u1: BPM st: NotStopd t0: [18:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 158 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [18:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 96.6667 u1: mmHg st: NotStopd t0: [18:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [18:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 13 u1: BPM st: NotStopd t0: [18:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 01/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.8333 u1: Deg. C st: NotStopd t0: [18:00:00 01/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.1 u1: Deg. F st: NotStopd t0: [18:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 01/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 110 rs: Manual st: NotStopd
t0: [18:00:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 150 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:30:00 01/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [18:30:00 01/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [18:30:00 01/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [18:30:00 01/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [18:30:00 01/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [18:30:00 01/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.5 st: NotStopd t0: [18:30:00 01/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [18:30:00 01/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [18:30:00 01/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [18:30:00 01/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [18:30:00 01/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [18:30:00 01/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:30:00 01/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [18:30:00 01/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.29 u1: L/min st: NotStopd t0: [18:30:00 01/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:30:00 01/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [18:30:00 01/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [18:30:00 01/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [18:30:00 01/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [18:30:00 01/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [18:30:00 01/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [18:30:00 01/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [18:30:00 01/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [18:30:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [18:30:00 01/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [18:30:00 01/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [18:30:00 01/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [18:30:00 01/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [18:30:00 01/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
id: TF Residual el: 1 cu: MICU-A cg: -1 io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [07:00:00 01/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [07:00:00 01/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 01/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [08:00:00 01/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [09:00:00 01/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [09:00:00 01/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [10:00:00 01/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [10:00:00 01/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [11:00:00 01/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [11:00:00 01/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 01/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [12:00:00 01/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [13:00:00 01/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [13:00:00 01/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [14:00:00 01/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [14:00:00 01/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [14:00:00 01/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [15:00:00 01/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [15:00:00 01/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [15:00:00 01/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 01/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [16:00:00 01/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [17:00:00 01/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [17:00:00 01/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd
t0: [10:00:00 01/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [10:00:00 01/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [10:00:00 01/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [10:00:00 01/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [10:00:00 01/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [10:00:00 01/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Wrist v2: 20 gauge st: NotStopd t0: [10:00:00 01/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [10:00:00 01/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 01/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 01/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 01/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 01/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 01/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 01/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 01/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 01/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 01/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 01/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 01/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [17:00:00 01/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 01/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [17:00:00 01/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [17:00:00 01/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [17:00:00 01/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts and Holds st: NotStopd t0: [18:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 01/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 01/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [18:00:00 01/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [18:00:00 01/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [18:00:00 01/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 01/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [18:00:00 01/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [18:00:00 01/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [18:00:00 01/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [18:00:00 01/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [18:00:00 01/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [18:00:00 01/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [18:00:00 01/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [18:00:00 01/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Lifts and Holds st: NotStopd t0: [18:00:00 01/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [18:00:00 01/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [18:00:00 01/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [18:00:00 01/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd
t0: [13:00:00 01/12/2008] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml t0: [17:00:00 01/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 vu: ml t0: [18:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [18:00:00 01/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 37.5 vu: ml t0: [18:00:00 01/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 01/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [20:00:00 01/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 01/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 01/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 01/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [20:00:00 01/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 01/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [20:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 01/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 01/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 01/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [20:00:00 01/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [20:00:00 01/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [20:00:00 01/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [20:00:00 01/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [20:00:00 01/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [20:00:00 01/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [20:00:00 01/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 01/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 01/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [20:00:00 01/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [20:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 100.667 u1: mmHg st: NotStopd t0: [20:00:00 01/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 01/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 01/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 01/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 01/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [20:00:00 01/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [20:00:00 01/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [20:00:00 01/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 01/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 01/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 01/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [20:00:00 01/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 01/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 01/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 01/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 01/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 01/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 01/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 01/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 01/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Rectal st: NotStopd t0: [20:00:00 01/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.7778 u1: Deg. C st: NotStopd t0: [20:00:00 01/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.8 u1: Deg. F st: NotStopd t0: [20:00:00 01/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 01/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 01/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 01/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 01/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 01/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 01/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 01/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 01/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 01/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 01/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 01/12/2008] tf: [21:00:00 03/12/2008] dt: 2940 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [20:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [20:00:00 01/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 75 vu: ml t0: [20:00:00 01/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml nb: 1 t0: [20:00:00 01/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [20:00:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 128 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:10:00 01/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [21:10:00 01/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [21:10:00 01/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:10:00 01/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [21:10:00 01/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [21:10:00 01/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.5 st: NotStopd t0: [21:10:00 01/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [21:10:00 01/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:10:00 01/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [21:10:00 01/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [21:10:00 01/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [21:10:00 01/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:10:00 01/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8.6 u1: cmH2O st: NotStopd t0: [21:10:00 01/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.5 u1: L/min st: NotStopd t0: [21:10:00 01/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:10:00 01/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [21:10:00 01/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [21:10:00 01/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [21:10:00 01/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:10:00 01/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [21:10:00 01/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:10:00 01/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [21:10:00 01/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [21:10:00 01/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:10:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [21:10:00 01/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [21:10:00 01/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [21:10:00 01/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [21:10:00 01/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:10:00 01/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [21:10:00 01/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:10:00 01/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [21:10:00 01/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [21:10:00 01/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [21:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 160 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [21:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg st: NotStopd t0: [21:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [21:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [21:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 01/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 01/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 01/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 01/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [22:00:00 01/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 01/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [22:00:00 01/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 112.667 u1: mmHg st: NotStopd t0: [22:00:00 01/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [22:00:00 01/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 01/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 01/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 01/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [22:00:00 01/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [22:00:00 01/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [22:00:00 01/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 01/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [22:00:00 01/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 64 vu: ml t0: [22:00:00 01/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [22:00:00 01/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [21:00:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 128 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 01/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 128 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 01/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 110 ap: none
t0: [00:20:00 02/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [00:20:00 02/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:20:00 02/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:20:00 02/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:20:00 02/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:20:00 02/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.7 st: NotStopd t0: [00:20:00 02/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:20:00 02/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:20:00 02/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [00:20:00 02/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [00:20:00 02/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [00:20:00 02/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:20:00 02/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9.9 u1: cmH2O st: NotStopd t0: [00:20:00 02/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.7 u1: L/min st: NotStopd t0: [00:20:00 02/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:20:00 02/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [00:20:00 02/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:20:00 02/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:20:00 02/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:20:00 02/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [00:20:00 02/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:20:00 02/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:20:00 02/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:20:00 02/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:20:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [00:20:00 02/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [00:20:00 02/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:20:00 02/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [00:20:00 02/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:20:00 02/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [00:20:00 02/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:20:00 02/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [00:20:00 02/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:20:00 02/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:15:00 02/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:15:00 02/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Asleep, Sluggish st: NotStopd t0: [00:15:00 02/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:15:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:15:00 02/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:15:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:15:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:15:00 02/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:15:00 02/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:15:00 02/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [00:15:00 02/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:15:00 02/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:15:00 02/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:15:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [00:15:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:15:00 02/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:15:00 02/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:15:00 02/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [00:15:00 02/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [00:15:00 02/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [00:15:00 02/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [00:15:00 02/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [00:15:00 02/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [00:15:00 02/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:15:00 02/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:15:00 02/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:15:00 02/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:15:00 02/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:15:00 02/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:15:00 02/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:15:00 02/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [00:15:00 02/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:15:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [00:15:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 96.3333 u1: mmHg st: NotStopd t0: [00:15:00 02/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:15:00 02/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:15:00 02/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:15:00 02/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:15:00 02/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:15:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [00:15:00 02/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [00:15:00 02/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:15:00 02/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:15:00 02/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:15:00 02/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:15:00 02/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:15:00 02/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:15:00 02/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:15:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:15:00 02/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:15:00 02/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:15:00 02/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:15:00 02/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:15:00 02/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Asleep, Sluggish st: NotStopd t0: [00:15:00 02/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:15:00 02/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:15:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:15:00 02/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:15:00 02/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:15:00 02/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:15:00 02/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:15:00 02/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:15:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:15:00 02/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 150 rs: Manual st: NotStopd t0: [00:15:00 02/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:15:00 02/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:15:00 02/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:15:00 02/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [00:15:00 02/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:15:00 02/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:15:00 02/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [00:15:00 02/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [00:15:00 02/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 168.75 vu: ml t0: [00:15:00 02/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 72 vu: ml t0: [00:15:00 02/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 45 vu: ml t0: [00:15:00 02/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 170 vu: ml
t0: [00:15:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 140 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [00:15:00 02/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Nonreactive st: NotStopd
t0: [01:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [01:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [01:00:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 90.3333 u1: mmHg st: NotStopd t0: [01:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [01:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 02/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 02/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 02/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 02/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [02:00:00 02/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [02:00:00 02/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [02:00:00 02/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 02/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [02:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 02/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 02/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [02:00:00 02/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [02:00:00 02/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [02:00:00 02/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [02:00:00 02/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [02:00:00 02/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [02:00:00 02/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [02:00:00 02/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 02/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 02/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 02/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 02/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 02/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [02:00:00 02/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [02:00:00 02/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [02:00:00 02/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [02:00:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [02:00:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 94.6667 u1: mmHg st: NotStopd t0: [02:00:00 02/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 02/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 02/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 02/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [02:00:00 02/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Nonreactive st: NotStopd t0: [02:00:00 02/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [02:00:00 02/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 02/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 02/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 02/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [02:00:00 02/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 02/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 02/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [02:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 02/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [02:00:00 02/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 02/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 02/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 02/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 02/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [02:00:00 02/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [02:00:00 02/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [02:00:00 02/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [02:00:00 02/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [02:00:00 02/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 02/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 02/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [02:00:00 02/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 131.25 vu: ml t0: [02:00:00 02/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 61.25 vu: ml t0: [02:00:00 02/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 35 vu: ml t0: [02:00:00 02/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [01:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 140 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 140 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:25:00 02/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.21 rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: SvO2 Mixed Venous Gases el: 0 cu: MICU-A cg: 1663 v1: 37 u1: % rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: Venous CO2(Calc) VBG'S el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: Venous PvCO2 VBG's el: 0 cu: MICU-A cg: 1663 v1: 59 u1: mmHg rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: Venous PvO2 Mixed Venous Gases el: 0 cu: MICU-A cg: 1663 v1: 27 u1: mmHg rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: Venous pH VBG's el: 0 cu: MICU-A cg: 1663 v1: 7.29 u1: pH rs: Final st: NotStopd
t0: [03:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [03:00:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [03:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [03:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 02/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 02/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 02/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 02/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [04:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [04:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 02/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 02/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [04:00:00 02/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [04:00:00 02/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [04:00:00 02/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [04:00:00 02/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [04:00:00 02/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [04:00:00 02/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 02/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 02/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 02/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [04:00:00 02/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [04:00:00 02/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 02/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 02/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 02/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [04:00:00 02/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Nonreactive st: NotStopd t0: [04:00:00 02/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [04:00:00 02/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 02/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 02/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 02/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 02/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [04:00:00 02/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 02/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 02/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 02/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 02/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 02/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 02/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 02/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 02/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [04:00:00 02/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 70 vu: ml t0: [04:00:00 02/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 02/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [03:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 140 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 140 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:30:00 02/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [04:30:00 02/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:30:00 02/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:30:00 02/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:30:00 02/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:30:00 02/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.5 st: NotStopd t0: [04:30:00 02/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:30:00 02/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:30:00 02/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [04:30:00 02/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [04:30:00 02/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [04:30:00 02/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:30:00 02/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:30:00 02/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.7 u1: L/min st: NotStopd t0: [04:30:00 02/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:30:00 02/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [04:30:00 02/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [04:30:00 02/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [04:30:00 02/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:30:00 02/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [04:30:00 02/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:30:00 02/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:30:00 02/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:30:00 02/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:30:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [04:30:00 02/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [04:30:00 02/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:30:00 02/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [04:30:00 02/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:30:00 02/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [04:30:00 02/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:30:00 02/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:30:00 02/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [04:30:00 02/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [04:25:00 02/12/2008] id: CvO2 el: 0 cu: MICU-A cg: 1663 v1: 7.2728 u1: ml/dl st: NotStopd t0: [04:25:00 02/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 43.6 u1: % rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 14.5 u1: gm/dl rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 380 rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 5.09 u1: /mic l rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 19.2 rs: Final st: NotStopd
t0: [04:25:00 02/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9.1 u1: mg/dl rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 153 rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [04:25:00 02/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [05:30:00 02/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.9 st: NotStopd t0: [05:30:00 02/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd
t0: [05:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [05:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [05:00:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg st: NotStopd t0: [05:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [05:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [05:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:30:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:30:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:30:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:30:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [05:30:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:30:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [05:30:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [05:30:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [05:30:00 02/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [05:30:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [05:30:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:30:00 02/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [05:30:00 02/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [05:30:00 02/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [05:30:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:30:00 02/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 112.5 vu: ml t0: [05:30:00 02/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 52.5 vu: ml t0: [05:30:00 02/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 35 vu: ml t0: [05:30:00 02/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [05:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 140 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:30:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 140 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [06:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [06:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [06:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 160 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [06:45:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:45:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:45:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:45:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [06:45:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:45:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 174 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [06:45:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [06:45:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [06:45:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:45:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:45:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:45:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 140 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 02/12/2008] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 0 st: D/C'd
t0: [08:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [08:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [08:00:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89.6667 u1: mmHg st: NotStopd t0: [08:00:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [08:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 02/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [08:00:00 02/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [08:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 02/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 187.5 vu: ml t0: [08:00:00 02/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 91.25 vu: ml t0: [08:00:00 02/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 75 vu: ml t0: [08:00:00 02/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [08:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 160 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:34:00 02/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [08:34:00 02/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:34:00 02/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:34:00 02/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:34:00 02/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:34:00 02/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.0 st: NotStopd t0: [08:34:00 02/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:34:00 02/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:34:00 02/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [08:34:00 02/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [08:34:00 02/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [08:34:00 02/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:34:00 02/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [08:34:00 02/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.64 u1: L/min st: NotStopd t0: [08:34:00 02/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:34:00 02/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [08:34:00 02/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [08:34:00 02/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [08:34:00 02/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:34:00 02/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [08:34:00 02/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:34:00 02/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:34:00 02/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:34:00 02/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:34:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [08:34:00 02/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Clear v2: Thick st: NotStopd t0: [08:34:00 02/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:34:00 02/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [08:34:00 02/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:34:00 02/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:34:00 02/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [08:34:00 02/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [08:34:00 02/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 02/12/2008] id: IV #1 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 02/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 02/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 02/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [08:00:00 02/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 02/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 02/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 02/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 02/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 02/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 02/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [08:00:00 02/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 02/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 02/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 02/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 02/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 02/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 02/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 02/12/2008] id: IV #1 D/C Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 02/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [08:00:00 02/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [08:00:00 02/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [08:00:00 02/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [08:00:00 02/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [08:00:00 02/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [08:00:00 02/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 02/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: Infiltrated st: NotStopd t0: [08:00:00 02/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 02/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 02/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [08:00:00 02/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 02/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 02/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 02/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 02/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 02/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 02/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 02/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 02/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 02/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [08:00:00 02/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 02/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 02/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 02/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 02/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 02/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 02/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 02/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 02/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 02/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 02/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 02/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 02/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 02/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 02/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [08:00:00 02/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 02/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 02/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 02/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 02/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 02/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 02/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 02/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [08:00:00 02/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 02/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 02/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [10:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [10:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 02/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [10:00:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 97.6667 u1: mmHg st: NotStopd t0: [10:00:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [10:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 02/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [10:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [10:00:00 02/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [10:00:00 02/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml t0: [10:00:00 02/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml
t0: [10:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 160 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:30:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:30:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [10:30:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:30:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:30:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.3333 u1: mmHg st: NotStopd t0: [10:30:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:30:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [10:30:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:30:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:30:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 180 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:35:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:35:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:35:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:35:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [10:35:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:35:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [10:35:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 99.6667 u1: mmHg st: NotStopd t0: [10:35:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:35:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [10:35:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:35:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:35:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:35:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 170 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:45:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:45:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [10:45:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:45:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 116 u1: BPM st: NotStopd t0: [10:45:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:45:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 167 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:45:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 96.3333 u1: mmHg st: NotStopd t0: [10:45:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:45:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [10:45:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:45:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:45:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:45:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 170 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [11:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [11:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 181 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 95.6667 u1: mmHg st: NotStopd t0: [11:00:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [11:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 170 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:30:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:30:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [11:30:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:30:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [11:30:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:30:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [11:30:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:30:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [11:30:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:30:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:30:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 180 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:30:00 02/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [11:30:00 02/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [11:30:00 02/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.6 u1: Deg. F st: NotStopd
t0: [10:00:00 02/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:30:00 02/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 112.5 vu: ml t0: [11:30:00 02/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 62.7083 vu: ml t0: [11:30:00 02/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [11:30:00 02/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 65 vu: ml
t0: [11:30:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:30:00 02/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear v2: Thick st: NotStopd t0: [11:30:00 02/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [12:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 120 u1: BPM st: NotStopd t0: [12:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [12:00:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 103.667 u1: mmHg st: NotStopd t0: [12:00:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [12:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 160 rs: Manual st: NotStopd
t0: [12:00:00 02/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 02/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 22.5 vu: ml t0: [12:00:00 02/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [12:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 180 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 02/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [13:00:00 02/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [13:00:00 02/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 02/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [13:00:00 02/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [13:00:00 02/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.9 st: NotStopd t0: [13:00:00 02/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [13:00:00 02/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 02/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [13:00:00 02/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [13:00:00 02/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [13:00:00 02/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 02/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9.1 u1: cmH2O st: NotStopd t0: [13:00:00 02/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.83 u1: L/min st: NotStopd t0: [13:00:00 02/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 02/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [13:00:00 02/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [13:00:00 02/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [13:00:00 02/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [13:00:00 02/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [13:00:00 02/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [13:00:00 02/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [13:00:00 02/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [13:00:00 02/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [13:00:00 02/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:00:00 02/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 02/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [13:00:00 02/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [13:00:00 02/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [13:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [13:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [13:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [13:00:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [13:00:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [13:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:30:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [13:30:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:30:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [13:30:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:30:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [13:30:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 109.667 u1: mmHg st: NotStopd t0: [13:30:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:30:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [13:30:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:30:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:30:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:45:00 02/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [13:45:00 02/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [13:45:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:45:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:45:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:45:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [13:45:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:45:00 02/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [13:45:00 02/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [13:45:00 02/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:45:00 02/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [13:45:00 02/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [13:45:00 02/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [13:45:00 02/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [13:45:00 02/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [13:45:00 02/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [13:45:00 02/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [13:45:00 02/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [13:45:00 02/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [13:45:00 02/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [13:45:00 02/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [13:45:00 02/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [13:45:00 02/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg st: NotStopd t0: [13:45:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 207 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [13:45:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg st: NotStopd t0: [13:45:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:45:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [13:45:00 02/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [13:45:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:45:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:45:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 120 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:45:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 02/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 02/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 70 vu: ml t0: [14:00:00 02/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [14:00:00 02/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [10:00:00 02/12/2008] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to RN st: NotStopd t0: [14:00:00 02/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 02/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [14:00:00 02/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [14:00:00 02/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 02/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 02/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [14:00:00 02/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:00:00 02/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [14:00:00 02/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [14:00:00 02/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [14:00:00 02/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [14:00:00 02/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [14:00:00 02/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 02/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [14:00:00 02/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [14:00:00 02/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [14:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [14:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 02/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [14:00:00 02/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [14:00:00 02/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [14:00:00 02/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 02/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [14:00:00 02/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 02/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [14:00:00 02/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [14:00:00 02/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [14:00:00 02/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [14:00:00 02/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [14:00:00 02/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [14:00:00 02/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [14:00:00 02/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [14:00:00 02/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [14:00:00 02/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 02/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 02/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 02/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 02/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 02/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 02/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [14:00:00 02/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 02/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [14:00:00 02/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [14:00:00 02/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 02/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 02/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 02/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [14:00:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [14:00:00 02/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 02/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 02/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [14:00:00 02/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Sluggish st: NotStopd t0: [14:00:00 02/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [14:00:00 02/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [14:00:00 02/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 02/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [14:00:00 02/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 02/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 02/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 02/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [14:00:00 02/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [14:00:00 02/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 02/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 02/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 02/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 02/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [14:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 02/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [14:00:00 02/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 02/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [14:00:00 02/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 02/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 02/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 02/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 02/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [14:00:00 02/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [14:00:00 02/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [14:00:00 02/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [14:00:00 02/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [14:00:00 02/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [14:00:00 02/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [14:00:00 02/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [14:00:00 02/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [14:30:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:30:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:30:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:30:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 120 u1: BPM st: NotStopd t0: [14:30:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:30:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:30:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [14:30:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:30:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [14:30:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:30:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:30:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:46:00 02/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [14:46:00 02/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [14:46:00 02/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [14:46:00 02/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 269 u1: mmHg rs: Final st: NotStopd t0: [14:46:00 02/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd
t0: [15:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [15:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [15:00:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [15:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 02/12/2008] id: Manual BP el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 02/12/2008] id: Manual BP Mean(calc) el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [16:26:00 02/12/2008] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 1.51832 u1: m2 t0: [16:26:00 02/12/2008] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 51.7 u1: kg t0: [16:26:00 02/12/2008] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [16:26:00 02/12/2008] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: MCA STOKE S/P THROMBOLYSIS t0: [16:26:00 02/12/2008] id: Service el: 1026 cu: MICU-A cg: -1 v1: NME t0: [16:26:00 02/12/2008] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 62 u1: inches t0: [16:26:00 02/12/2008] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [16:26:00 02/12/2008] id: Marital Status el: 1006 cu: MICU-A cg: -1 t0: [16:26:00 02/12/2008] id: Religion el: 1000 cu: MICU-A cg: -1 v1: JEW t0: [16:26:00 02/12/2008] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [16:26:00 02/12/2008] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [16:26:00 02/12/2008] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [16:26:00 02/12/2008] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [16:30:00 02/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:30:00 02/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:30:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:30:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:30:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [16:30:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:30:00 02/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:30:00 02/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [16:30:00 02/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:30:00 02/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:30:00 02/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:30:00 02/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:30:00 02/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:30:00 02/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:30:00 02/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [16:30:00 02/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [16:30:00 02/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [16:30:00 02/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [16:30:00 02/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:30:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [16:30:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [16:30:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:30:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [16:30:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:30:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:30:00 02/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:30:00 02/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [16:30:00 02/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [16:30:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 02/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:30:00 02/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [16:30:00 02/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 47.5 vu: ml t0: [16:30:00 02/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [16:30:00 02/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 65 vu: ml
t0: [16:30:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 02/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22.7273 u1: ml/cmH st: NotStopd t0: [17:00:00 02/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [17:00:00 02/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 02/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [17:00:00 02/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [17:00:00 02/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.5 st: NotStopd t0: [17:00:00 02/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [17:00:00 02/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 02/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [17:00:00 02/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [17:00:00 02/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [17:00:00 02/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 02/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [17:00:00 02/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.76 u1: L/min st: NotStopd t0: [17:00:00 02/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 02/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [17:00:00 02/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [17:00:00 02/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [17:00:00 02/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [17:00:00 02/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 02/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [17:00:00 02/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [17:00:00 02/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [17:00:00 02/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [17:00:00 02/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 02/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 02/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [17:00:00 02/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [17:00:00 02/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [16:45:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:45:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:45:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:45:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 130 u1: BPM st: NotStopd t0: [16:45:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:45:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 167 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [16:45:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [16:45:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:45:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [16:45:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:45:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:45:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:45:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 138 u1: BPM st: NotStopd t0: [17:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [17:00:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [17:00:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [17:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:21:00 02/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [17:21:00 02/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [17:21:00 02/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [17:21:00 02/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 206 u1: mmHg rs: Final st: NotStopd t0: [17:21:00 02/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [17:21:00 02/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd
t0: [17:00:00 02/12/2008] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [17:10:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [17:10:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [17:10:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:15:00 02/12/2008] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [17:30:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:30:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:30:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [17:30:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:30:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:30:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [17:30:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:30:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [17:30:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:30:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:30:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:15:00 02/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [17:15:00 02/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd
t0: [18:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [18:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:00:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [18:00:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [18:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 02/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [18:00:00 02/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 15 vu: ml t0: [18:00:00 02/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 75 vu: ml t0: [18:00:00 02/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [18:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 70 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 02/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [18:00:00 02/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 02/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 02/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 02/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [18:00:00 02/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 02/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd
t0: [18:45:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:45:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:45:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:45:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [18:45:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:45:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [18:45:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [18:45:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:45:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [18:45:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:45:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:45:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 02/12/2008] tf: [14:13:00 17/12/2008] dt: 21373 id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 100 vu: ml t0: [18:45:00 02/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [18:45:00 02/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [18:45:00 02/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13.125 vu: ml t0: [18:45:00 02/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 37.5 vu: ml
t0: [18:45:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [19:07:00 02/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [19:07:00 02/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [19:07:00 02/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [19:07:00 02/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [19:07:00 02/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [19:07:00 02/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [19:07:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [19:07:00 02/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [19:07:00 02/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [19:07:00 02/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [19:07:00 02/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [19:07:00 02/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 02/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 26.3158 u1: ml/cmH st: NotStopd t0: [20:00:00 02/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 02/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 02/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 02/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [20:00:00 02/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [20:00:00 02/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 02/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 u1: Deg. C st: NotStopd t0: [20:00:00 02/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [20:00:00 02/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [20:00:00 02/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 02/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 02/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 6.5 u1: L/min st: NotStopd t0: [20:00:00 02/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 02/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [20:00:00 02/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 02/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 11 u1: cmH2O st: NotStopd t0: [20:00:00 02/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 02/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [20:00:00 02/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 3 u1: BPM st: NotStopd t0: [20:00:00 02/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 13 u1: BPM st: NotStopd t0: [20:00:00 02/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [20:00:00 02/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 02/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 02/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 02/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [20:00:00 02/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [20:00:00 02/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 02/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 02/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 02/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [20:00:00 02/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [20:00:00 02/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 02/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 02/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 02/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 02/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [20:00:00 02/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [20:00:00 02/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [20:00:00 02/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: -1 v1: Not Applicable st: NotStopd t0: [20:00:00 02/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 02/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 02/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 02/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 02/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 111 u1: BPM st: NotStopd t0: [20:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 02/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 02/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [20:00:00 02/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Femoral st: NotStopd t0: [20:00:00 02/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [20:00:00 02/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [20:00:00 02/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 02/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [20:00:00 02/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 02/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [20:00:00 02/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 02/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [20:00:00 02/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 02/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [20:00:00 02/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [20:00:00 02/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [20:00:00 02/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Wrist v2: 20 gauge st: NotStopd t0: [20:00:00 02/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 02/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 02/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 02/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 02/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 02/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [20:00:00 02/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [20:00:00 02/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [20:00:00 02/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [20:00:00 02/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 02/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 02/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 02/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 02/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 147 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [20:00:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [20:00:00 02/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 02/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 02/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [20:00:00 02/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Sluggish st: NotStopd t0: [20:00:00 02/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 02/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 02/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [20:00:00 02/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 02/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [20:00:00 02/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 02/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 02/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [20:00:00 02/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 02/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 02/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 02/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 02/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 02/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [20:00:00 02/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [20:00:00 02/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 02/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [20:00:00 02/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Rectal st: NotStopd t0: [20:00:00 02/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.7778 u1: Deg. C st: NotStopd t0: [20:00:00 02/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 02/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Cloudy st: NotStopd t0: [20:00:00 02/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 02/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [20:00:00 02/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 02/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 02/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Comp. Immobile st: NotStopd t0: [20:00:00 02/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 02/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Adequate st: NotStopd t0: [20:00:00 02/12/2008] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 11 u1: number st: NotStopd t0: [20:00:00 02/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Comp. Limited st: NotStopd
t0: [20:00:00 02/12/2008] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 30 vu: ml t0: [20:00:00 02/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 02/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [20:00:00 02/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 18.75 vu: ml t0: [20:00:00 02/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 62.5 vu: ml t0: [20:00:00 02/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 140 vu: ml
t0: [20:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/12/2008] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 130 ap: none
t0: [20:00:00 02/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101.8 u1: Deg. F st: NotStopd
t0: [21:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 95 u1: BPM st: NotStopd t0: [21:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 156 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [21:00:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [21:00:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 51.7 u1: kg st: NotStopd t0: [21:00:00 02/12/2008] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Pan Cultured st: NotStopd t0: [21:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [21:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 02/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 15 vu: ml
t0: [21:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:30:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:30:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:30:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:30:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [21:30:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:30:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:30:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [21:30:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:30:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [21:30:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:30:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:30:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:35:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:35:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:35:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:35:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [21:35:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:35:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:35:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:35:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:35:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [21:35:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:35:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:35:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:35:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 110 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:45:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:45:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:45:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:45:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [21:45:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:45:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [21:45:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [21:45:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:45:00 02/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 51.7 u1: kg st: NotStopd t0: [21:45:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:45:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:45:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:45:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 110 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 89 u1: BPM st: NotStopd t0: [22:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [22:00:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [22:00:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [22:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 02/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [22:00:00 02/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 36.0417 vu: ml t0: [22:00:00 02/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml t0: [22:00:00 02/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [22:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 110 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 cv: 0 ap: none t0: [23:00:00 02/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 cv: 0 ap: none t0: [23:00:00 02/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 cv: 1980.12 ap: none t0: [23:00:00 02/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 cv: 2975.13 ap: none t0: [23:00:00 02/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 cv: 865 ap: none t0: [23:00:00 02/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 cv: 880 ap: none t0: [23:00:00 02/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 cv: 2095.12 ap: none t0: [23:00:00 02/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 cv: 880 ap: none t0: [23:00:00 02/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 cv: 317.5 ap: none
t0: [23:00:00 02/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 02/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 02/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 02/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 90 u1: BPM st: NotStopd t0: [23:00:00 02/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 02/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 144 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [23:00:00 02/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [23:00:00 02/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 02/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [23:00:00 02/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [23:00:00 02/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 92 u1: BPM st: NotStopd t0: [00:00:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 149 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [00:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 98 u1: mmHg st: NotStopd t0: [00:00:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 03/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [00:00:00 03/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [00:00:00 03/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [00:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 03/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 188 rs: Manual st: NotStopd
t0: [00:00:00 03/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [00:00:00 03/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 55 vu: ml t0: [00:00:00 03/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml t0: [00:00:00 03/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [23:00:00 02/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 110 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 110 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 03/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 03/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1494.25 ap: none t0: [23:00:00 03/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 3089.25 ap: none t0: [23:00:00 03/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 1440 ap: none t0: [23:00:00 03/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 800 ap: none t0: [23:00:00 03/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 2289.25 ap: none t0: [23:00:00 03/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 800 ap: none t0: [23:00:00 03/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 2142.5 ap: none
t0: [00:00:00 03/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 03/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 03/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 03/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [00:00:00 03/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 03/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [00:00:00 03/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 03/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 03/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 03/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 03/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [00:00:00 03/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [00:00:00 03/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 03/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 03/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 03/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Sluggish st: NotStopd t0: [00:00:00 03/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 03/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 03/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 03/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 03/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 03/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 03/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 03/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 03/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 03/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [00:00:00 03/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [00:00:00 03/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 03/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [00:00:00 03/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 03/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 03/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 98 u1: BPM st: NotStopd t0: [01:00:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 156 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [01:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [01:00:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [01:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 86 u1: BPM st: NotStopd t0: [02:00:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 137 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [02:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [02:00:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [02:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 03/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [02:00:00 03/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [01:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 110 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 110 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:30:00 03/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [02:30:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:30:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:30:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:30:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [02:30:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:30:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 172 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [02:30:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg st: NotStopd t0: [02:30:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:30:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:30:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:30:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:30:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:30:00 03/12/2008] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd
t0: [02:30:00 03/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [02:30:00 03/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [02:30:00 03/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 68.75 vu: ml t0: [02:30:00 03/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml
t0: [02:00:00 03/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 25.5102 u1: ml/cmH st: NotStopd t0: [02:00:00 03/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [02:00:00 03/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [02:00:00 03/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [02:00:00 03/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [02:00:00 03/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:4.5 st: NotStopd t0: [02:00:00 03/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [02:00:00 03/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [02:00:00 03/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 u1: Deg. C st: NotStopd t0: [02:00:00 03/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [02:00:00 03/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [02:00:00 03/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [02:00:00 03/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 8 u1: cmH2O st: NotStopd t0: [02:00:00 03/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 4.7 u1: L/min st: NotStopd t0: [02:00:00 03/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [02:00:00 03/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [02:00:00 03/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 24.6 u1: cmH2O st: NotStopd t0: [02:00:00 03/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 13 u1: cmH2O st: NotStopd t0: [02:00:00 03/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [02:00:00 03/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [02:00:00 03/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [02:00:00 03/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [02:00:00 03/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [02:00:00 03/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [02:00:00 03/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 480 u1: ml/B st: NotStopd t0: [02:00:00 03/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [02:00:00 03/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [02:00:00 03/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [02:00:00 03/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [02:00:00 03/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [04:12:00 03/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:12:00 03/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:12:00 03/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [04:12:00 03/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 206 u1: mmHg rs: Final st: NotStopd t0: [04:12:00 03/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [04:12:00 03/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.21 rs: Final st: NotStopd
t0: [00:00:00 03/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [00:00:00 03/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [00:00:00 03/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [00:00:00 03/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Femoral st: NotStopd t0: [00:00:00 03/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 03/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [00:00:00 03/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 03/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [00:00:00 03/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 03/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [00:00:00 03/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 03/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 03/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [00:00:00 03/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [00:00:00 03/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [00:00:00 03/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Wrist v2: 20 gauge st: NotStopd t0: [00:00:00 03/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 03/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [03:00:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 89 u1: BPM st: NotStopd t0: [03:00:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 167 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [03:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [03:00:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [03:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 03/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [04:00:00 03/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [04:00:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 03/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 03/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 03/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 03/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [04:00:00 03/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 03/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [04:00:00 03/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 03/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 78 u1: BPM st: NotStopd t0: [04:00:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 03/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 03/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [04:00:00 03/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Femoral st: NotStopd t0: [04:00:00 03/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 03/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [04:00:00 03/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 03/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [04:00:00 03/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 03/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [04:00:00 03/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 03/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 03/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [04:00:00 03/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [04:00:00 03/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [04:00:00 03/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Wrist v2: 20 gauge st: NotStopd t0: [04:00:00 03/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 03/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 03/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 03/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [04:00:00 03/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [04:00:00 03/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 03/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 03/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 160 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [04:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [04:00:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 03/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Sluggish st: NotStopd t0: [04:00:00 03/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 03/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 03/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 03/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 03/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [04:00:00 03/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 03/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 03/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 03/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 03/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [04:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 03/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [04:00:00 03/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 03/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [04:00:00 03/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [04:00:00 03/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.2778 u1: Deg. C st: NotStopd t0: [04:00:00 03/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.3 u1: Deg. F st: NotStopd t0: [04:00:00 03/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 03/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 03/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 03/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 45 vu: ml t0: [04:00:00 03/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 37.5 vu: ml t0: [04:00:00 03/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 90 vu: ml t0: [04:00:00 03/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [03:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:28:00 03/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 37.1 u1: % rs: Final st: NotStopd t0: [04:28:00 03/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.5 u1: gm/dl rs: Final st: NotStopd t0: [04:28:00 03/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 307 rs: Final st: NotStopd t0: [04:28:00 03/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.32 u1: /mic l rs: Final st: NotStopd t0: [04:28:00 03/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 20.3 rs: Final st: NotStopd
t0: [04:28:00 03/12/2008] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:28:00 03/12/2008] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [04:28:00 03/12/2008] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 25.9 rs: Final st: NotStopd
t0: [04:28:00 03/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [04:28:00 03/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:28:00 03/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 107 rs: Final st: NotStopd t0: [04:28:00 03/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:28:00 03/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [04:28:00 03/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [04:28:00 03/12/2008] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [04:28:00 03/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [04:28:00 03/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [05:00:00 03/12/2008] id: CVP el: 0 cu: MICU-A cg: -1 v1: 1 u1: mmHg st: NotStopd t0: [05:00:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 86 u1: BPM st: NotStopd t0: [05:00:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 144 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [05:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [05:00:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [05:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [05:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 03/12/2008] id: CVP el: 0 cu: MICU-A cg: -1 v1: 1 u1: mmHg st: NotStopd t0: [06:00:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 89 u1: BPM st: NotStopd t0: [06:00:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [06:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [06:00:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [06:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [06:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 03/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 65 vu: ml
t0: [05:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 03/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 03/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 03/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 03/12/2008] id: CVP el: 0 cu: MICU-A cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [08:00:00 03/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 03/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 03/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 03/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 03/12/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 03/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 03/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 03/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [08:00:00 03/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 03/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 03/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 03/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 03/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 97 u1: BPM st: NotStopd t0: [08:00:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 03/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 03/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 03/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Femoral st: NotStopd t0: [08:00:00 03/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 03/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 03/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 03/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 03/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 03/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 03/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 03/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 03/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 03/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [08:00:00 03/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [08:00:00 03/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [08:00:00 03/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Wrist v2: 20 gauge st: NotStopd t0: [08:00:00 03/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 03/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 03/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 03/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 03/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 03/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 03/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [08:00:00 03/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 03/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [08:00:00 03/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 03/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 03/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 03/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 03/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 161 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [08:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [08:00:00 03/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 03/12/2008] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 03/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 03/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Sluggish st: NotStopd t0: [08:00:00 03/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 3 mm v2: 4 mm st: NotStopd t0: [08:00:00 03/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 03/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 03/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 03/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 03/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 03/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 03/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [08:00:00 03/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 03/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 03/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 03/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 03/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 03/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 03/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [08:00:00 03/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Nonpurposeful st: NotStopd t0: [08:00:00 03/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [08:00:00 03/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 03/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 03/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 03/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Cloudy st: NotStopd t0: [08:00:00 03/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 03/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 03/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [08:00:00 03/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 03/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 03/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 03/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Comp. Immobile st: NotStopd t0: [08:00:00 03/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 03/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 03/12/2008] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 11 u1: number st: NotStopd t0: [08:00:00 03/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [08:00:00 03/12/2008] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 25 vu: ml t0: [08:00:00 03/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [08:00:00 03/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml t0: [08:00:00 03/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 100 vu: ml t0: [08:00:00 03/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 240 vu: ml t0: [08:00:00 03/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [08:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 03/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22.7273 u1: ml/cmH st: NotStopd t0: [08:00:00 03/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 03/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 03/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 03/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 03/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4.5 st: NotStopd t0: [08:00:00 03/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 03/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 03/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [08:00:00 03/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [08:00:00 03/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 03/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 03/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9 u1: L/min st: NotStopd t0: [08:00:00 03/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 03/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [08:00:00 03/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [08:00:00 03/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [08:00:00 03/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 03/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 03/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 03/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 03/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 03/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [08:00:00 03/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 03/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CMV st: NotStopd t0: [08:00:00 03/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [08:00:00 03/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 03/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 03/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [08:00:00 03/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 03/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [09:00:00 03/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd
t0: [08:00:00 03/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 03/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 03/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [10:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 85 u1: BPM st: NotStopd t0: [10:00:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 03/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 03/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 03/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 155 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [10:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [10:00:00 03/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 03/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [10:00:00 03/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 03/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [10:00:00 03/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 35 vu: ml t0: [10:00:00 03/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml t0: [10:00:00 03/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [09:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 03/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml
t0: [10:30:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 03/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 03/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [12:00:00 03/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 03/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 03/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 03/12/2008] id: CVP el: 0 cu: MICU-A cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [12:00:00 03/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 03/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 03/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 03/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 03/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [12:00:00 03/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 03/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [12:00:00 03/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 03/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding st: NotStopd t0: [12:00:00 03/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 03/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 83 u1: BPM st: NotStopd t0: [12:00:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 03/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 03/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 03/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Femoral st: NotStopd t0: [12:00:00 03/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 03/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 03/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 03/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 03/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 03/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 03/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 03/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 03/12/2008] id: IV #2 D/C Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 21 st: NotStopd t0: [12:00:00 03/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [12:00:00 03/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [12:00:00 03/12/2008] id: IV #3 D/C Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 21 st: NotStopd t0: [12:00:00 03/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [12:00:00 03/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Wrist v2: 20 gauge st: NotStopd t0: [12:00:00 03/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 03/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 03/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 03/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 03/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [12:00:00 03/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 03/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [12:00:00 03/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 03/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 03/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 03/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 03/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [12:00:00 03/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [12:00:00 03/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 03/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [12:00:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 03/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Sluggish st: NotStopd t0: [12:00:00 03/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 03/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 03/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 03/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 03/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 03/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 03/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 03/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 11 u1: BPM st: NotStopd t0: [12:00:00 03/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 03/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 03/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 03/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 03/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 03/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 03/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [12:00:00 03/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Nonpurposeful st: NotStopd t0: [12:00:00 03/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [12:00:00 03/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [12:00:00 03/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Cloudy st: NotStopd t0: [12:00:00 03/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 03/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 03/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Unresponsive st: NotStopd t0: [12:00:00 03/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 203 rs: Manual st: NotStopd t0: [12:00:00 03/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [12:00:00 03/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [12:00:00 03/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 23.75 vu: ml t0: [12:00:00 03/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml t0: [12:00:00 03/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [12:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 03/12/2008] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 30 vu: ml
t0: [12:40:00 03/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [12:40:00 03/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:40:00 03/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:40:00 03/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:40:00 03/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:40:00 03/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 3.6 st: NotStopd t0: [12:40:00 03/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:40:00 03/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:40:00 03/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [12:40:00 03/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [12:40:00 03/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:40:00 03/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9.5 u1: cmH2O st: NotStopd t0: [12:40:00 03/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [12:40:00 03/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:40:00 03/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [12:40:00 03/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [12:40:00 03/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [12:40:00 03/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:40:00 03/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 5 u1: BPM st: NotStopd t0: [12:40:00 03/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [12:40:00 03/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:40:00 03/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:40:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [12:40:00 03/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [12:40:00 03/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:40:00 03/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CMV st: NotStopd t0: [12:40:00 03/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [12:40:00 03/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [12:40:00 03/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [12:30:00 03/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [12:30:00 03/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Copious st: NotStopd
t0: [14:00:00 03/12/2008] id: CVP el: 0 cu: MICU-A cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [14:00:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 03/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [14:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 98 u1: BPM st: NotStopd t0: [14:00:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 03/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 03/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 03/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [14:00:00 03/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [14:00:00 03/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 13 u1: BPM st: NotStopd t0: [14:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 03/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 03/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 03/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [14:00:00 03/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.9444 u1: Deg. C st: NotStopd t0: [14:00:00 03/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.3 u1: Deg. F st: NotStopd t0: [14:00:00 03/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [14:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 03/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [14:00:00 03/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 25 vu: ml t0: [14:00:00 03/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml t0: [14:00:00 03/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 110 vu: ml
t0: [14:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:30:00 03/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 03/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [15:30:00 03/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [15:30:00 03/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:30:00 03/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [15:30:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:30:00 03/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 03/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [15:30:00 03/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [15:30:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 03/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [15:30:00 03/12/2008] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Conferenc st: NotStopd t0: [15:30:00 03/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [15:30:00 03/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [15:30:00 03/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [15:30:00 03/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [15:30:00 03/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 03/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [15:30:00 03/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [15:30:00 03/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [15:30:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [15:30:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:30:00 03/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [15:30:00 03/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [15:30:00 03/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [15:30:00 03/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:30:00 03/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [15:30:00 03/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:30:00 03/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [15:30:00 03/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [15:30:00 03/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [15:30:00 03/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:30:00 03/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [15:30:00 03/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [15:30:00 03/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:30:00 03/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [15:30:00 03/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [15:30:00 03/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [15:30:00 03/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [15:30:00 03/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [15:30:00 03/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [15:30:00 03/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [15:30:00 03/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [15:30:00 03/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:30:00 03/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [15:30:00 03/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:30:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:30:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [15:30:00 03/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [15:30:00 03/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 03/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:30:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:30:00 03/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [15:30:00 03/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [15:30:00 03/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [15:30:00 03/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [15:30:00 03/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [15:30:00 03/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [15:30:00 03/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:30:00 03/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 03/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [15:30:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 35 u1: BPM st: NotStopd t0: [15:30:00 03/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [15:30:00 03/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [15:30:00 03/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [15:30:00 03/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [15:30:00 03/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [15:30:00 03/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [15:30:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:30:00 03/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [15:30:00 03/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [15:30:00 03/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [15:30:00 03/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [15:30:00 03/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [15:30:00 03/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [15:30:00 03/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [15:30:00 03/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Sediment st: NotStopd t0: [15:30:00 03/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [15:30:00 03/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:30:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 03/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [15:30:00 03/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [15:30:00 03/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [15:30:00 03/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [15:30:00 03/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [15:30:00 03/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [15:30:00 03/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [15:30:00 03/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [15:30:00 03/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [15:30:00 03/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 45 vu: ml t0: [15:30:00 03/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 18.75 vu: ml t0: [15:30:00 03/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 90 vu: ml t0: [15:30:00 03/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 75 vu: ml
t0: [15:30:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 03/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.8095 u1: ml/cmH st: NotStopd t0: [17:00:00 03/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [17:00:00 03/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 03/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [17:00:00 03/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [17:00:00 03/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 3.5 st: NotStopd t0: [17:00:00 03/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [17:00:00 03/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 03/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [17:00:00 03/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [17:00:00 03/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 03/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9.7 u1: cmH2O st: NotStopd t0: [17:00:00 03/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.3 u1: L/min st: NotStopd t0: [17:00:00 03/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 03/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [17:00:00 03/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [17:00:00 03/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [17:00:00 03/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [17:00:00 03/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [17:00:00 03/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [17:00:00 03/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 03/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [17:00:00 03/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [17:00:00 03/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 03/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CMV st: NotStopd t0: [17:00:00 03/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [17:00:00 03/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [17:00:00 03/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 124 u1: BPM st: NotStopd t0: [18:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [18:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [18:00:00 03/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [18:00:00 03/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [18:00:00 03/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [18:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 03/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 167 rs: Manual st: NotStopd
t0: [18:00:00 03/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:00:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd
t0: [18:00:00 03/12/2008] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 100 vu: ml t0: [18:00:00 03/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [18:00:00 03/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 75 vu: ml t0: [18:00:00 03/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 37.5 vu: ml t0: [18:00:00 03/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml
t0: [18:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/12/2008] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 155 ap: none
t0: [18:00:00 03/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [19:00:00 03/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [19:00:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [19:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [19:00:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [19:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 70 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 03/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 16.6667 u1: ml/cmH st: NotStopd t0: [20:00:00 03/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 03/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 03/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [20:00:00 03/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [20:00:00 03/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [20:00:00 03/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 03/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 u1: Deg. C st: NotStopd t0: [20:00:00 03/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [20:00:00 03/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [20:00:00 03/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 03/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 03/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: L/min st: NotStopd t0: [20:00:00 03/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 03/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [20:00:00 03/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 03/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 29 u1: cmH2O st: NotStopd t0: [20:00:00 03/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 03/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [20:00:00 03/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 5 u1: BPM st: NotStopd t0: [20:00:00 03/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [20:00:00 03/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [20:00:00 03/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [20:00:00 03/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 03/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 03/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [20:00:00 03/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [20:00:00 03/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 03/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 03/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 03/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Copious st: NotStopd
t0: [20:30:00 03/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:30:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:30:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [20:30:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [20:30:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [20:30:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:30:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [20:30:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [20:30:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:30:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 03/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [21:00:00 03/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 03/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [21:00:00 03/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [21:00:00 03/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [21:00:00 03/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [21:00:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 03/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 03/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [21:00:00 03/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [21:00:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 03/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [21:00:00 03/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [21:00:00 03/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [21:00:00 03/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [21:00:00 03/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [21:00:00 03/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 03/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [21:00:00 03/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [21:00:00 03/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [21:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [21:00:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 03/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [21:00:00 03/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [21:00:00 03/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [21:00:00 03/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 03/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [21:00:00 03/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [21:00:00 03/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [21:00:00 03/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [21:00:00 03/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [21:00:00 03/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [21:00:00 03/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [21:00:00 03/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [21:00:00 03/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 03/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [21:00:00 03/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [21:00:00 03/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [21:00:00 03/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 03/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [21:00:00 03/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [21:00:00 03/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [21:00:00 03/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [21:00:00 03/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 03/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 03/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [21:00:00 03/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [21:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [21:00:00 03/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [21:00:00 03/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 03/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [21:00:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 03/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [21:00:00 03/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [21:00:00 03/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 03/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [21:00:00 03/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 03/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [21:00:00 03/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 03/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 03/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [21:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 03/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: Withdraws st: NotStopd t0: [21:00:00 03/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [21:00:00 03/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 03/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [21:00:00 03/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 03/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [21:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 03/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [21:00:00 03/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [21:00:00 03/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [21:00:00 03/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [21:00:00 03/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [21:00:00 03/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [21:00:00 03/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [21:00:00 03/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [21:00:00 03/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [21:00:00 03/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [21:00:00 03/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 03/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [21:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 03/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [21:00:00 03/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [21:00:00 03/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [21:00:00 03/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 90 vu: ml t0: [21:00:00 03/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 44.25 vu: ml t0: [21:00:00 03/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 180 vu: ml nb: 1 t0: [21:00:00 03/12/2008] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [21:00:00 03/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [21:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/12/2008] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none
t0: [21:15:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:15:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:15:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:15:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [21:15:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:15:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:15:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [21:15:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:15:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:15:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:15:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:15:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [22:00:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 162 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [22:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [22:00:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [22:00:00 03/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 18.75 vu: ml t0: [22:00:00 03/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [22:00:00 03/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [22:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 03/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 03/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 03/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [23:00:00 03/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 03/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [23:00:00 03/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [23:00:00 03/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 03/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [23:00:00 03/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 03/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 04/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 04/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 04/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 04/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 04/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 04/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 04/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 04/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 04/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 04/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 04/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 04/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 04/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [00:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 04/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 04/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 04/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [00:00:00 04/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 04/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 04/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 04/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 04/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 04/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 04/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 04/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 04/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [00:00:00 04/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 04/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 04/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 04/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [00:00:00 04/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [00:00:00 04/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 04/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 04/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 04/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 04/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 04/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 04/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 04/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: Withdraws st: NotStopd t0: [00:00:00 04/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 04/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 04/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 04/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 04/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 04/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 04/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 04/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 04/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 04/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [00:00:00 04/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [00:00:00 04/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 04/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 04/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [00:00:00 04/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 04/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 04/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [00:00:00 04/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 04/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [00:00:00 04/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 04/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 04/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [00:00:00 04/12/2008] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 180 vu: ml t0: [00:00:00 04/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [00:00:00 04/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [00:00:00 04/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 30 vu: ml t0: [00:00:00 04/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [00:00:00 04/12/2008] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [00:00:00 04/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [23:00:00 03/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 04/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 04/12/2008] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 04/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1189.81 ap: none t0: [23:00:00 04/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 3039.81 ap: none t0: [23:00:00 04/12/2008] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 470 ap: none t0: [23:00:00 04/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 1380 ap: none t0: [23:00:00 04/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1170 ap: none t0: [23:00:00 04/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 1869.81 ap: carryForward t0: [23:00:00 04/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1170 ap: carryForward t0: [23:00:00 04/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 3747.5 ap: carryForward
t0: [00:00:00 04/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 187 rs: Manual st: NotStopd
t0: [00:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [01:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [01:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [01:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [01:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 04/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [01:00:00 04/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [01:00:00 04/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [01:00:00 04/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [01:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 04/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 25 u1: ml/cmH st: NotStopd t0: [02:00:00 04/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [02:00:00 04/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [02:00:00 04/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [02:00:00 04/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [02:00:00 04/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [02:00:00 04/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [02:00:00 04/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 u1: Deg. C st: NotStopd t0: [02:00:00 04/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [02:00:00 04/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [02:00:00 04/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [02:00:00 04/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [02:00:00 04/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.2 u1: L/min st: NotStopd t0: [02:00:00 04/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [02:00:00 04/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [02:00:00 04/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 25 u1: cmH2O st: NotStopd t0: [02:00:00 04/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 24 u1: cmH2O st: NotStopd t0: [02:00:00 04/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [02:00:00 04/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [02:00:00 04/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 1 u1: BPM st: NotStopd t0: [02:00:00 04/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 11 u1: BPM st: NotStopd t0: [02:00:00 04/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [02:00:00 04/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [02:00:00 04/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 04/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [02:00:00 04/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 510 u1: ml/B st: NotStopd t0: [02:00:00 04/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [02:00:00 04/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [02:00:00 04/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [02:00:00 04/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [02:00:00 04/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [01:00:00 04/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [01:00:00 04/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 04/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 04/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [01:00:00 04/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 04/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 04/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 04/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [02:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [02:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [02:00:00 04/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 04/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 04/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 04/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [02:00:00 04/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 04/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 04/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 04/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium t0: [02:00:00 04/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [02:00:00 04/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [02:00:00 04/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [02:00:00 04/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [02:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 04/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [01:00:00 04/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [01:00:00 04/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: MRI st: NotStopd t0: [02:00:00 04/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd t0: [03:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 04/12/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [03:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 04/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [03:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [03:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 04/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 04/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 04/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 04/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [03:00:00 04/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [03:00:00 04/12/2008] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [03:00:00 04/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 04/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 04/12/2008] id: BSA - English el: 0 cu: MICU-A cg: RN v1: 0.981323 u1: m2 st: NotStopd t0: [03:00:00 04/12/2008] id: BSA - Metric el: 0 cu: MICU-A cg: RN v1: 1.1516 u1: m2 st: NotStopd t0: [03:00:00 04/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 04/12/2008] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0.3 u1: kg st: NotStopd t0: [03:00:00 04/12/2008] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd
t0: [03:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 59 u2: mmHg st: NotStopd
t0: [03:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 04/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 04/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 04/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [04:00:00 04/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 04/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 04/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 04/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [04:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 04/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 04/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 04/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 04/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 04/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 04/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 04/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [04:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 04/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 04/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 04/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [04:00:00 04/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 04/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 04/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 04/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 04/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 04/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 04/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 04/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 04/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [04:00:00 04/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 04/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 04/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 04/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [04:00:00 04/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [04:00:00 04/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [04:00:00 04/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 04/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 04/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 04/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 04/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 04/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [04:00:00 04/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: Withdraws st: NotStopd t0: [04:00:00 04/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [04:00:00 04/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 04/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 04/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 04/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 04/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 04/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 04/12/2008] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Loose st: NotStopd t0: [04:00:00 04/12/2008] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 04/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 04/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 04/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [04:00:00 04/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [04:00:00 04/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 04/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 04/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 04/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [04:00:00 04/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [02:00:00 04/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [04:00:00 04/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 04/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 21 vu: ml t0: [04:00:00 04/12/2008] tf: [11:00:00 06/12/2008] dt: 3300 id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [04:00:00 04/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [04:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:18:00 04/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:18:00 04/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:18:00 04/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [04:18:00 04/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [04:18:00 04/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [04:30:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:30:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:30:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:30:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [04:30:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:30:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:30:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:30:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:30:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [04:30:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [04:30:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:30:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 04/12/2008] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd
t0: [04:30:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 72 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 04/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.9 u1: % rs: Final st: NotStopd t0: [04:00:00 04/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.5 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 04/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 327 rs: Final st: NotStopd t0: [04:00:00 04/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.97 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 04/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 17.6 rs: Final st: NotStopd
t0: [05:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [05:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [05:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 167 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [05:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [05:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [05:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 04/12/2008] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:00:00 04/12/2008] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 11.7 rs: Final st: NotStopd t0: [04:00:00 04/12/2008] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 25.5 rs: Final st: NotStopd
t0: [04:00:00 04/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [04:00:00 04/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [04:00:00 04/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [04:00:00 04/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:00:00 04/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 170 rs: Final st: NotStopd t0: [04:00:00 04/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [04:00:00 04/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [06:00:00 04/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [06:00:00 04/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 04/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [06:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 04/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 04/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 04/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [06:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [06:00:00 04/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 04/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [06:00:00 04/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 04/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 04/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [06:00:00 04/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 04/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 04/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 04/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 04/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [06:00:00 04/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 31.5 vu: ml t0: [06:00:00 04/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [06:00:00 04/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [06:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 44 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 04/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [08:00:00 04/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 04/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 04/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 04/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 04/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 04/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 04/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 04/12/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 04/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 04/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 04/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 04/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 04/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [08:00:00 04/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 04/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [08:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 04/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 04/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 04/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [08:00:00 04/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 04/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 04/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 04/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 04/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 04/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 04/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 04/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 04/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 04/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 04/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 04/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [08:00:00 04/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 04/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 04/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 04/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 04/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [08:00:00 04/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [08:00:00 04/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 04/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/12/2008] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 04/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [08:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [08:00:00 04/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 04/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 04/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 04/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 04/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 04/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 04/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 04/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 04/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [08:00:00 04/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 04/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 04/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 04/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 04/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 04/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 04/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 04/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [08:00:00 04/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 04/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [08:00:00 04/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [08:00:00 04/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 04/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 04/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 04/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [08:00:00 04/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 04/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 22 vu: ml t0: [08:00:00 04/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [08:00:00 04/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [08:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 44 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 04/12/2008] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 40 vu: ml
t0: [09:00:00 04/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [09:00:00 04/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [09:00:00 04/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 04/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [09:00:00 04/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [09:00:00 04/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [09:00:00 04/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 04/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [09:00:00 04/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 300 st: NotStopd t0: [09:00:00 04/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 04/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8.5 u1: cmH2O st: NotStopd t0: [09:00:00 04/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.2 u1: L/min st: NotStopd t0: [09:00:00 04/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 04/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [09:00:00 04/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [09:00:00 04/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [09:00:00 04/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [09:00:00 04/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [09:00:00 04/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 11 u1: BPM st: NotStopd t0: [09:00:00 04/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:00:00 04/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [09:00:00 04/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:00:00 04/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:00:00 04/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 04/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [09:00:00 04/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [09:00:00 04/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [09:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [09:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [09:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [10:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [10:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [10:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [10:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [10:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 44 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 44 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 04/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [10:00:00 04/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 04/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 04/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 04/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 04/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [10:00:00 04/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 04/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [10:00:00 04/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [10:00:00 04/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [10:00:00 04/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [10:00:00 04/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 22 vu: ml t0: [10:00:00 04/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [10:00:00 04/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [10:00:00 04/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [23:00:00 04/12/2008] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [10:00:00 04/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [10:00:00 04/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [10:00:00 04/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [10:00:00 04/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [10:00:00 04/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [10:00:00 04/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [10:00:00 04/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [10:00:00 04/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [10:00:00 04/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 100 st: NotStopd t0: [10:00:00 04/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [10:00:00 04/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11.5 u1: cmH2O st: NotStopd t0: [10:00:00 04/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [10:00:00 04/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:00:00 04/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [10:00:00 04/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [10:00:00 04/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [10:00:00 04/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [10:00:00 04/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 8 u1: . st: NotStopd t0: [10:00:00 04/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [10:00:00 04/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [10:00:00 04/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [10:00:00 04/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [10:00:00 04/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [10:00:00 04/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 210 u1: ml/B st: NotStopd t0: [10:00:00 04/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [10:00:00 04/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [10:00:00 04/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [10:00:00 04/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [10:48:00 04/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [10:48:00 04/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [10:48:00 04/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [10:48:00 04/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 183 u1: mmHg rs: Final st: NotStopd t0: [10:48:00 04/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [10:48:00 04/12/2008] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 15.6691 u1: ml/dl st: NotStopd t0: [10:48:00 04/12/2008] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [11:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [11:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [11:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [11:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [11:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [11:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 44 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 04/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: Sputum Cx st: NotStopd t0: [11:00:00 04/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [11:00:00 04/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [12:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [12:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [12:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [12:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [12:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 04/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [12:00:00 04/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 22 vu: ml t0: [12:00:00 04/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml
t0: [12:00:00 04/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 04/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 04/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 04/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 04/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 04/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [12:00:00 04/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [12:00:00 04/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 138 rs: Manual st: NotStopd
t0: [12:00:00 04/12/2008] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 80 vu: ml t0: [12:00:00 04/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [10:00:00 04/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 04/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 04/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 04/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 04/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 04/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [10:00:00 04/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 04/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 04/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 04/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 04/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 04/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 04/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 04/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 04/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 04/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 04/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 04/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 04/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 04/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [12:00:00 04/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 04/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 04/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 04/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 04/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [12:00:00 04/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 04/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 04/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 04/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 04/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 04/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 04/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 04/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 04/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 04/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 04/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 04/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [12:00:00 04/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 04/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 04/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 04/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 04/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 04/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 04/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [12:00:00 04/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 04/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 04/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 04/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 04/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 04/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 04/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 04/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 04/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 04/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 04/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 04/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 04/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 04/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 04/12/2008] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 04/12/2008] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 04/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 04/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 04/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 04/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 04/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 04/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 04/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 04/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 04/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 04/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 04/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 04/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 04/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [12:00:00 04/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 04/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 04/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [12:00:00 04/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [12:00:00 04/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 04/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 04/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [12:00:00 04/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [12:00:00 04/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 100 st: NotStopd t0: [12:00:00 04/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 04/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11.1 u1: cmH2O st: NotStopd t0: [12:00:00 04/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.7 u1: L/min st: NotStopd t0: [12:00:00 04/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 04/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [12:00:00 04/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [12:00:00 04/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [12:00:00 04/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:00:00 04/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 8 u1: . st: NotStopd t0: [12:00:00 04/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [12:00:00 04/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [12:00:00 04/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [12:00:00 04/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 04/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [12:00:00 04/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 04/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 190 u1: ml/B st: NotStopd t0: [12:00:00 04/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [12:00:00 04/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [12:00:00 04/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [12:00:00 04/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [13:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [13:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [13:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [13:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 41 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 38 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:30:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:30:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:30:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:30:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:30:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [13:30:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:30:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [13:30:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [13:30:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:30:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [13:30:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:30:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:30:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:35:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:35:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:35:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:35:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:35:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [13:35:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:35:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:35:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:35:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:35:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [13:35:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:35:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:35:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:35:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:45:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:45:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:45:00 04/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:45:00 04/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [13:45:00 04/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [13:45:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:45:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:45:00 04/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [13:45:00 04/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [13:45:00 04/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [13:45:00 04/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [13:45:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [13:45:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:45:00 04/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [13:45:00 04/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [13:45:00 04/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [13:45:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:45:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [13:45:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:45:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [13:45:00 04/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [13:45:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:45:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:45:00 04/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [13:45:00 04/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [13:45:00 04/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [13:45:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:45:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 48 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [14:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [14:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 170 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [14:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg st: NotStopd t0: [14:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [14:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 04/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 04/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [14:00:00 04/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 04/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 04/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 04/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 04/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [14:00:00 04/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 04/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [14:00:00 04/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 04/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 04/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 04/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [14:00:00 04/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [14:00:00 04/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [14:00:00 04/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 18.625 vu: ml t0: [14:00:00 04/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [14:00:00 04/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [14:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 37 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:15:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [14:15:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:15:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:15:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:15:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [14:15:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:15:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 163 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [14:15:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [14:15:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:15:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [14:15:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:15:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:15:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:15:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 34 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [15:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [15:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [15:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [15:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [15:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 04/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [15:00:00 04/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 8.6875 vu: ml t0: [15:00:00 04/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [15:00:00 04/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [15:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 34 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:30:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [15:30:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:30:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [15:30:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:30:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [15:30:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:30:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:30:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [15:30:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:30:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [15:30:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:30:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:30:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 04/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 04/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 04/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 04/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 04/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 04/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 04/12/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 04/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 04/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 04/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [16:00:00 04/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 04/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [16:00:00 04/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 04/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 04/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 04/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 04/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [16:00:00 04/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 04/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 04/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 04/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 04/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 04/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 04/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 04/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 04/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 04/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 04/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 04/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [16:00:00 04/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 04/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 04/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 04/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 04/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [16:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [16:00:00 04/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 04/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 04/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/12/2008] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 04/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [16:00:00 04/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 04/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 04/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 04/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 04/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 04/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 04/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 04/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [16:00:00 04/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 04/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 04/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 04/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 04/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 04/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Rectal st: NotStopd t0: [16:00:00 04/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [16:00:00 04/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 04/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 04/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 04/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 04/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 04/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [16:00:00 04/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 9 vu: ml t0: [16:00:00 04/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [16:00:00 04/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [15:30:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 38 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [16:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [16:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [16:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [16:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 04/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [16:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 44 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:50:00 04/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [16:50:00 04/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:50:00 04/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:50:00 04/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [16:50:00 04/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [16:50:00 04/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [16:50:00 04/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:50:00 04/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [16:50:00 04/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 100 st: NotStopd t0: [16:50:00 04/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:50:00 04/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [16:50:00 04/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6 u1: L/min st: NotStopd t0: [16:50:00 04/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:50:00 04/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [16:50:00 04/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [16:50:00 04/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [16:50:00 04/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:50:00 04/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 8 u1: . st: NotStopd t0: [16:50:00 04/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 5 u1: BPM st: NotStopd t0: [16:50:00 04/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [16:50:00 04/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [16:50:00 04/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:50:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [16:50:00 04/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [16:50:00 04/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:50:00 04/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 240 u1: ml/B st: NotStopd t0: [16:50:00 04/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [16:50:00 04/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [16:50:00 04/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [16:50:00 04/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [17:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [17:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [17:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [17:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [17:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [17:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 04/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [17:00:00 04/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 11 vu: ml t0: [17:00:00 04/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml
t0: [17:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 44 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 04/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 150 rs: Manual st: NotStopd
t0: [18:00:00 04/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [18:00:00 04/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [18:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [18:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [18:00:00 04/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [18:00:00 04/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 04/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 04/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [18:00:00 04/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 04/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 04/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 04/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [18:00:00 04/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [18:00:00 04/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 11 vu: ml t0: [18:00:00 04/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [18:00:00 04/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [18:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 44 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:40:00 04/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [18:40:00 04/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [18:40:00 04/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 147 rs: Final st: NotStopd
t0: [18:40:00 04/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [18:40:00 04/12/2008] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [18:40:00 04/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [18:40:00 04/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [18:40:00 04/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 145 rs: Final st: NotStopd t0: [18:40:00 04/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd
t0: [20:00:00 04/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 04/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 04/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 04/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [20:00:00 04/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 04/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 04/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 04/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 04/12/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 04/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 04/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 04/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 04/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 04/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 04/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 04/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 04/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [20:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 04/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 04/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 04/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [20:00:00 04/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 04/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 04/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 04/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 04/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 04/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 04/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 04/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 04/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 04/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 04/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 04/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 04/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 04/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 169 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [20:00:00 04/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg st: NotStopd t0: [20:00:00 04/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 04/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/12/2008] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 04/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [20:00:00 04/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 04/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 04/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 04/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 04/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 04/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 04/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 04/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 04/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 04/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 04/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 04/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 04/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 04/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 04/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 04/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 04/12/2008] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [20:00:00 04/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 04/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 04/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [20:00:00 04/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [20:00:00 04/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 04/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 04/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 04/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 04/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 04/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 04/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 04/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 04/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [20:00:00 04/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 04/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [20:00:00 04/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 04/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 04/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [20:00:00 04/12/2008] tf: [00:00:00 05/12/2008] dt: 240 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml nb: 1 t0: [20:00:00 04/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [20:00:00 04/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 22 vu: ml t0: [20:00:00 04/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [20:00:00 04/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [20:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 04/12/2008] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 170 vu: ml
t0: [21:00:00 04/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:46:00 04/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 u1: mmHg rs: Final st: NotStopd t0: [20:46:00 04/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 u1: mmHg rs: Final st: NotStopd t0: [20:46:00 04/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [20:46:00 04/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.13 rs: Final st: NotStopd
t0: [20:50:00 04/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 21.7391 u1: ml/cmH st: NotStopd t0: [20:50:00 04/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:50:00 04/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:50:00 04/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [20:50:00 04/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:50:00 04/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:50:00 04/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:50:00 04/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2 st: NotStopd t0: [20:50:00 04/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:50:00 04/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:50:00 04/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:50:00 04/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [20:50:00 04/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [20:50:00 04/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:50:00 04/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.9 u1: cmH2O st: NotStopd t0: [20:50:00 04/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.9 u1: L/min st: NotStopd t0: [20:50:00 04/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:50:00 04/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [20:50:00 04/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [20:50:00 04/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [20:50:00 04/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:50:00 04/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 8 u1: . st: NotStopd t0: [20:50:00 04/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 11 u1: BPM st: NotStopd t0: [20:50:00 04/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [20:50:00 04/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [20:50:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [20:50:00 04/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [20:50:00 04/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:50:00 04/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 220 u1: ml/B st: NotStopd t0: [20:50:00 04/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [20:50:00 04/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [20:50:00 04/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:50:00 04/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [21:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [21:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [21:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [21:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 04/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [21:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 04/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 04/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [22:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [22:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [22:00:00 04/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [22:00:00 04/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 04/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [22:00:00 04/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [22:00:00 04/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 04/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 04/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 04/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 04/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml nb: 1 t0: [22:00:00 04/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [22:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 05/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 160 rs: Manual st: NotStopd
t0: [23:00:00 04/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 04/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 04/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 04/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [23:00:00 04/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 04/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [23:00:00 04/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [23:00:00 04/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 04/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [23:00:00 04/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:00:00 04/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 04/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 05/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 05/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 05/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [00:00:00 05/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 05/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 05/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 05/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 05/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 05/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 05/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 05/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 05/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 05/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [00:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 05/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 05/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 05/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [00:00:00 05/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 05/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 05/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 05/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 05/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 05/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 05/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 05/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 05/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 05/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 05/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 05/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 05/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [00:00:00 05/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 05/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 05/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 05/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [00:00:00 05/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [00:00:00 05/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 05/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [00:00:00 05/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 05/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 05/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 05/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 05/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 05/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 05/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 05/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 05/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 05/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 05/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 05/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 05/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 05/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 05/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 05/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [00:00:00 05/12/2008] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [00:00:00 05/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 05/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 05/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 05/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 05/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 05/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 05/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 05/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 05/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 05/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 05/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [00:00:00 05/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 05/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [00:00:00 05/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 05/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 05/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [22:00:00 04/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [00:00:00 05/12/2008] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 150 vu: ml t0: [00:00:00 05/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [00:00:00 05/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [00:00:00 05/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 05/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [00:00:00 05/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [23:00:00 04/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 05/12/2008] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 280 ap: none t0: [23:00:00 05/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 1440 ap: none t0: [23:00:00 05/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1405 ap: none t0: [23:00:00 05/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1405 ap: carryForward
t0: [00:30:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:30:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:30:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:30:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:30:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [00:30:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:30:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [00:30:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:30:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:30:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:30:00 05/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [00:30:00 05/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:30:00 05/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:30:00 05/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [00:30:00 05/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:30:00 05/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:30:00 05/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:30:00 05/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2 st: NotStopd t0: [00:30:00 05/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:30:00 05/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:30:00 05/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:30:00 05/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [00:30:00 05/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [00:30:00 05/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:30:00 05/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8.5 u1: cmH2O st: NotStopd t0: [00:30:00 05/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.1 u1: L/min st: NotStopd t0: [00:30:00 05/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:30:00 05/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [00:30:00 05/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [00:30:00 05/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:30:00 05/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:30:00 05/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 8 u1: . st: NotStopd t0: [00:30:00 05/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [00:30:00 05/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:30:00 05/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [00:30:00 05/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:30:00 05/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:30:00 05/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 200 u1: ml/B st: NotStopd t0: [00:30:00 05/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [00:30:00 05/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [00:30:00 05/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:30:00 05/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:30:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [00:40:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:40:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:40:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:40:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [00:40:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:40:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:40:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:40:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:40:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [00:40:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:40:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:40:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:40:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [01:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [01:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [01:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 05/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [01:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [02:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [02:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [02:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [02:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:30:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:30:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:30:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:30:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [02:30:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:30:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [02:30:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [02:30:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:30:00 05/12/2008] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [02:30:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [02:30:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:30:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:30:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 05/12/2008] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd
t0: [02:00:00 05/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [02:00:00 05/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 14.1667 vu: ml t0: [02:00:00 05/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [02:00:00 05/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [02:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:30:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [03:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [03:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [03:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 52 u1: kg st: NotStopd t0: [03:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 05/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 05/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 05/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 05/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 05/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 05/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 05/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 05/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 05/12/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 05/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 05/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 05/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 05/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 05/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 05/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 05/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 05/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 05/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [04:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 05/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 05/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 05/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [04:00:00 05/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 05/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 05/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 05/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 05/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 05/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 05/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 05/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 05/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 05/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 05/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [04:00:00 05/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 05/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 05/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 05/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 05/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [04:00:00 05/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [04:00:00 05/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 05/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 05/12/2008] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 05/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 05/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 05/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 05/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 05/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 05/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 05/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 05/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 05/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 05/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [04:00:00 05/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 05/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 05/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 05/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 05/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 05/12/2008] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 05/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 05/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 05/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [04:00:00 05/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [04:00:00 05/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 05/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 05/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 05/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 05/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 05/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 05/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 05/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [04:00:00 05/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [04:00:00 05/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [04:00:00 05/12/2008] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [04:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [04:00:00 05/12/2008] id: BSA - English el: 0 cu: MICU-A cg: RN v1: 0.998225 u1: m2 st: NotStopd t0: [04:00:00 05/12/2008] id: BSA - Metric el: 0 cu: MICU-A cg: RN v1: 1.17099 u1: m2 st: NotStopd t0: [04:00:00 05/12/2008] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [04:00:00 05/12/2008] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd
t0: [04:10:00 05/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [04:10:00 05/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:10:00 05/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:10:00 05/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [04:10:00 05/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:10:00 05/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:10:00 05/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:10:00 05/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2 st: NotStopd t0: [04:10:00 05/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:10:00 05/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:10:00 05/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:10:00 05/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [04:10:00 05/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [04:10:00 05/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:10:00 05/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8.3 u1: cmH2O st: NotStopd t0: [04:10:00 05/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.7 u1: L/min st: NotStopd t0: [04:10:00 05/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:10:00 05/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [04:10:00 05/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [04:10:00 05/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:10:00 05/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:10:00 05/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 8 u1: . st: NotStopd t0: [04:10:00 05/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:10:00 05/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:10:00 05/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:10:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [04:10:00 05/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [04:10:00 05/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:10:00 05/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 280 u1: ml/B st: NotStopd t0: [04:10:00 05/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [04:10:00 05/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [04:10:00 05/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:10:00 05/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 05/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 05/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 05/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 05/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 05/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 05/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [02:00:00 05/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 05/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 05/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 05/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 05/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd
t0: [04:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:30:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:30:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:30:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:30:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [04:30:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:30:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:30:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [04:30:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:30:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [04:30:00 05/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:30:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [04:30:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:30:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:30:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:43:00 05/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [04:43:00 05/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [04:43:00 05/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [04:43:00 05/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 196 u1: mmHg rs: Final st: NotStopd t0: [04:43:00 05/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [04:43:00 05/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.12 rs: Final st: NotStopd
t0: [04:00:00 05/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30 u1: % rs: Final st: NotStopd t0: [04:00:00 05/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 05/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 302 rs: Final st: NotStopd t0: [04:00:00 05/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.48 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 05/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.5 rs: Final st: NotStopd
t0: [04:00:00 05/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [04:00:00 05/12/2008] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 05/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:00:00 05/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 107 rs: Final st: NotStopd t0: [04:00:00 05/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [04:00:00 05/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd t0: [04:00:00 05/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [04:00:00 05/12/2008] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 05/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:00:00 05/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [04:00:00 05/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [05:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [05:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [05:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [05:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [05:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:30:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:30:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:30:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:30:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [05:30:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:30:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 174 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [05:30:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg st: NotStopd t0: [05:30:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:30:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [05:30:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:30:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:30:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 05/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 05/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [06:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [06:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [06:00:00 05/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [06:00:00 05/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 05/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 05/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [06:00:00 05/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 05/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 05/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 05/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [06:00:00 05/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 15 vu: ml t0: [06:00:00 05/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [06:00:00 05/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [05:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:30:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 05/12/2008] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:00:00 05/12/2008] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [04:00:00 05/12/2008] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 33.3 rs: Final st: NotStopd
t0: [06:30:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:30:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:30:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:30:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [06:30:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:30:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:30:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [06:30:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:30:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [06:30:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:30:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:30:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [06:45:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:45:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:45:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:45:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [06:45:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:45:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 179 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [06:45:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg st: NotStopd t0: [06:45:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:45:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [06:45:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:45:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:45:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:45:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [07:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [07:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [07:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 179 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [07:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg st: NotStopd t0: [07:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [07:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 05/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 05/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 05/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 05/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 05/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [08:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 05/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 05/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [08:00:00 05/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 05/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 05/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 05/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 05/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 05/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [08:00:00 05/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [08:00:00 05/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [08:00:00 05/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 05/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 05/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [08:00:00 05/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 05/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 05/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 05/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 05/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 05/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [08:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:15:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:15:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [08:15:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:15:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [08:15:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:15:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:15:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:15:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:15:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [08:15:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:15:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:15:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:30:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:30:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [08:30:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:30:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [08:30:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:30:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [08:30:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [08:30:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:30:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [08:30:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:30:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:30:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:35:00 05/12/2008] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [08:40:00 05/12/2008] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd
t0: [09:00:00 05/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 90 vu: ml t0: [09:00:00 05/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 15.9583 vu: ml t0: [09:00:00 05/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 180 vu: ml t0: [09:00:00 05/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [07:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:15:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 05/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 05/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 05/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 05/12/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 05/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 05/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 05/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [08:00:00 05/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 05/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 05/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 05/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 05/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 05/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 05/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 05/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 05/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 05/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 05/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 05/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 05/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 05/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 05/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [08:00:00 05/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 05/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 05/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 05/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 05/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 05/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 05/12/2008] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 05/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [08:00:00 05/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 05/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 05/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 05/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 05/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 05/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 05/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 05/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 05/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 05/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 05/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 05/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 05/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 05/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 05/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 05/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 05/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 05/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 05/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 05/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 05/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 05/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 05/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [09:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [09:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [09:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [09:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [09:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 05/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 05/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [09:30:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:30:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:30:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:30:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [09:30:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:30:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 189 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [09:30:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [09:30:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:30:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [09:30:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:30:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:30:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 05/12/2008] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 30 vu: ml t0: [09:00:00 05/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [09:30:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [09:37:00 05/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [09:37:00 05/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [09:37:00 05/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:37:00 05/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [09:37:00 05/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [09:37:00 05/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.8 st: NotStopd t0: [09:37:00 05/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [09:37:00 05/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [09:37:00 05/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [09:37:00 05/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [09:37:00 05/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [09:37:00 05/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:37:00 05/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8.2 u1: cmH2O st: NotStopd t0: [09:37:00 05/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.59 u1: L/min st: NotStopd t0: [09:37:00 05/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:37:00 05/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [09:37:00 05/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [09:37:00 05/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [09:37:00 05/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [09:37:00 05/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 8 u1: . st: NotStopd t0: [09:37:00 05/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [09:37:00 05/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [09:37:00 05/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [09:37:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [09:37:00 05/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:37:00 05/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:37:00 05/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 280 u1: ml/B st: NotStopd t0: [09:37:00 05/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [09:37:00 05/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [09:37:00 05/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [09:37:00 05/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [10:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [10:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [10:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [10:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [10:00:00 05/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: EEG st: NotStopd t0: [10:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 05/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [10:00:00 05/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 6.875 vu: ml t0: [10:00:00 05/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [10:00:00 05/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [10:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [11:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [11:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [11:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [11:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [11:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:11:00 05/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:11:00 05/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:11:00 05/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:11:00 05/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:11:00 05/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [12:11:00 05/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 5 u1: BPM st: NotStopd t0: [12:11:00 05/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 11 u1: BPM st: NotStopd t0: [12:11:00 05/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 6 u1: BPM st: NotStopd t0: [12:11:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [12:11:00 05/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [12:11:00 05/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [12:00:00 05/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 05/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 05/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [12:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:00:00 05/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 05/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [12:00:00 05/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [12:00:00 05/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [12:00:00 05/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 05/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [12:00:00 05/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [12:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [12:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [12:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 05/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 05/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 05/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [12:00:00 05/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [12:00:00 05/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [12:00:00 05/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [12:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 05/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 05/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 05/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [10:00:00 05/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 05/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 05/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 05/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 05/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 05/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 05/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 05/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 05/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 05/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 05/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 05/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 05/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 05/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 05/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 05/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [12:00:00 05/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 05/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 05/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 05/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 05/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 05/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 05/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 05/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 05/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 05/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 05/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 05/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 05/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 05/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 05/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 05/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 05/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 05/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [12:00:00 05/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 05/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 05/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 05/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 05/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 05/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 05/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 05/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 05/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 05/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 05/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 05/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 05/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 05/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 05/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 05/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [12:00:00 05/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 05/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 05/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 05/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 146 rs: Manual st: NotStopd
t0: [12:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 05/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 05/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [12:00:00 05/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [13:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [13:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [13:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [13:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [13:00:00 05/12/2008] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [13:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 05/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [13:00:00 05/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [13:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 05/12/2008] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 80 vu: ml t0: [13:00:00 05/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [13:00:00 05/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 6.25 vu: ml t0: [13:00:00 05/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml
t0: [13:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 05/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [14:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [14:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [14:00:00 05/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [14:00:00 05/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: Urine Culture st: NotStopd t0: [14:00:00 05/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 05/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 05/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [14:00:00 05/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 05/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 05/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 05/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [14:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:33:00 05/12/2008] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 13.8833 u1: ml/dl st: NotStopd t0: [13:33:00 05/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [13:33:00 05/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [13:33:00 05/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [13:33:00 05/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 200 u1: mmHg rs: Final st: NotStopd t0: [13:33:00 05/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [13:33:00 05/12/2008] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [13:51:00 05/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [13:51:00 05/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [13:51:00 05/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:51:00 05/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [13:51:00 05/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:51:00 05/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [13:51:00 05/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [13:51:00 05/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.9 st: NotStopd t0: [13:51:00 05/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [13:51:00 05/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [13:51:00 05/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [13:51:00 05/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [13:51:00 05/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [13:51:00 05/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:51:00 05/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [13:51:00 05/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.14 u1: L/min st: NotStopd t0: [13:51:00 05/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:51:00 05/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [13:51:00 05/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [13:51:00 05/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [13:51:00 05/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [13:51:00 05/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 8 u1: . st: NotStopd t0: [13:51:00 05/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 6 u1: BPM st: NotStopd t0: [13:51:00 05/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [13:51:00 05/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 6 u1: BPM st: NotStopd t0: [13:51:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [13:51:00 05/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:51:00 05/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:51:00 05/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 270 u1: ml/B st: NotStopd t0: [13:51:00 05/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [13:51:00 05/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [13:51:00 05/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [13:51:00 05/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [14:10:00 05/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd
t0: [14:00:00 05/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [14:00:00 05/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 6.25 vu: ml t0: [14:00:00 05/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [14:00:00 05/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [15:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 05/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 20cm v2: Lip st: NotStopd t0: [15:00:00 05/12/2008] id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:00:00 05/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [15:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [15:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 05/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 05/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 05/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 05/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 166 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [15:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [15:00:00 05/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [15:00:00 05/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [15:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 05/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [15:00:00 05/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 05/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [15:00:00 05/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 6.25 vu: ml t0: [15:00:00 05/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml
t0: [15:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:30:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:30:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:30:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:30:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [15:30:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:30:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [15:30:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [15:30:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:30:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [15:30:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:30:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:30:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 27 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [16:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [16:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [16:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 05/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 05/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [16:00:00 05/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [16:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 27 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 05/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 05/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [17:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 116 u1: BPM st: NotStopd t0: [17:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 180 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [17:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg st: NotStopd t0: [17:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [17:00:00 05/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: Urine Culture st: NotStopd t0: [17:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 05/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [17:00:00 05/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [17:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 05/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [17:00:00 05/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13.25 vu: ml t0: [17:00:00 05/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [17:00:00 05/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [17:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 05/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 05/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 05/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 05/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 05/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 05/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 05/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 05/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 05/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 05/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [16:00:00 05/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 05/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 05/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 05/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 05/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 05/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 05/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [16:00:00 05/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 05/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 05/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 05/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 05/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 05/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 05/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 05/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 05/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 05/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 05/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 05/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [16:00:00 05/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 05/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 05/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 05/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 05/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 05/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 05/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 05/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 05/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 05/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 05/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 05/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 05/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 05/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [16:00:00 05/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 05/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 05/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 05/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 05/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 05/12/2008] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [16:00:00 05/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 05/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 05/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 05/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 05/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [17:00:00 05/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [17:00:00 05/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 05/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 05/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 05/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 05/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [17:00:00 05/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [17:00:00 05/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [17:00:00 05/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [16:30:00 05/12/2008] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [16:30:00 05/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [16:30:00 05/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd
t0: [18:00:00 05/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 05/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [18:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 167 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [18:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg st: NotStopd t0: [18:00:00 05/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [18:00:00 05/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 05/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 05/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [18:00:00 05/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 05/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 05/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 05/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 05/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 05/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [18:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 05/12/2008] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [18:00:00 05/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [18:00:00 05/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [18:00:00 05/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [18:00:00 05/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 6.25 vu: ml t0: [18:00:00 05/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [18:00:00 05/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [18:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 23 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 05/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [18:00:00 05/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [18:00:00 05/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [18:00:00 05/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [18:00:00 05/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [18:00:00 05/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.0 st: NotStopd t0: [18:00:00 05/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [18:00:00 05/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [18:00:00 05/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [18:00:00 05/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [18:00:00 05/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [18:00:00 05/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:00:00 05/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8.1 u1: cmH2O st: NotStopd t0: [18:00:00 05/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 4.75 u1: L/min st: NotStopd t0: [18:00:00 05/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:00:00 05/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [18:00:00 05/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [18:00:00 05/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [18:00:00 05/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [18:00:00 05/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 8 u1: . st: NotStopd t0: [18:00:00 05/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [18:00:00 05/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [18:00:00 05/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 6 u1: BPM st: NotStopd t0: [18:00:00 05/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [18:00:00 05/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [18:00:00 05/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [18:00:00 05/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 223 u1: ml/B st: NotStopd t0: [18:00:00 05/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [18:00:00 05/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [18:00:00 05/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [18:00:00 05/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 05/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [18:00:00 05/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [18:00:00 05/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd
t0: [19:00:00 05/12/2008] id: Education Handout el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [19:00:00 05/12/2008] id: Education Method el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [19:00:00 05/12/2008] id: Education Response el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [19:00:00 05/12/2008] id: Stool Management el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [18:30:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:30:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:30:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:30:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [18:30:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:30:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [18:30:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [18:30:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:30:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [18:30:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [18:30:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:30:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 05/12/2008] id: CVP el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 05/12/2008] id: Education Barrier el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 05/12/2008] id: Education Learner el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 05/12/2008] id: Education Readiness el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 05/12/2008] id: Education Topic #1 el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 05/12/2008] id: Nursing Consultation el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 05/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 05/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 05/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 05/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 05/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 05/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 05/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 05/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 05/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 05/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 05/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 05/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 05/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 05/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 05/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 05/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [20:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 05/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 05/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 05/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [20:00:00 05/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 05/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 05/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 05/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 05/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 05/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 05/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 05/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 05/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 05/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 05/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 05/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 05/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 05/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 05/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 05/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 05/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 05/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [20:00:00 05/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [20:00:00 05/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 05/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 05/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [20:00:00 05/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 05/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 05/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 05/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 05/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 05/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 05/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 05/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 05/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 05/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 05/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 05/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 05/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 05/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 05/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 05/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 05/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 05/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 05/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 05/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 05/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 05/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [20:00:00 05/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [20:00:00 05/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 05/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 05/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 05/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 05/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 05/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 05/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 05/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [20:00:00 05/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 05/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [20:00:00 05/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 05/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 05/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [20:00:00 05/12/2008] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 20 vu: ml t0: [20:00:00 05/12/2008] tf: [00:00:00 06/12/2008] dt: 240 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 05/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [20:00:00 05/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.25 vu: ml t0: [20:00:00 05/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [20:00:00 05/12/2008] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [20:00:00 05/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [20:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24.8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/12/2008] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [21:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [21:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [21:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [21:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 05/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 05/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 05/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 05/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 05/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 05/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [22:00:00 05/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 05/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 05/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd
t0: [22:00:00 05/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [22:00:00 05/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.4 vu: ml t0: [22:00:00 05/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [22:00:00 05/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [21:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24.8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 05/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1020.4 ap: none t0: [23:00:00 05/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2740.4 ap: none t0: [23:00:00 05/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 1335.4 ap: carryForward t0: [23:00:00 05/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 4932.5 ap: carryForward
t0: [22:00:00 05/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [22:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [22:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [22:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [22:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [22:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24.8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 05/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 17.8571 u1: ml/cmH st: NotStopd t0: [22:00:00 05/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [22:00:00 05/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [22:00:00 05/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [22:00:00 05/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [22:00:00 05/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [22:00:00 05/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [22:00:00 05/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2 st: NotStopd t0: [22:00:00 05/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [22:00:00 05/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [22:00:00 05/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [22:00:00 05/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [22:00:00 05/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [22:00:00 05/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [22:00:00 05/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.9 u1: cmH2O st: NotStopd t0: [22:00:00 05/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.8 u1: L/min st: NotStopd t0: [22:00:00 05/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [22:00:00 05/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [22:00:00 05/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [22:00:00 05/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [22:00:00 05/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [22:00:00 05/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 8 u1: . st: NotStopd t0: [22:00:00 05/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [22:00:00 05/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [22:00:00 05/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 6 u1: BPM st: NotStopd t0: [22:00:00 05/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [22:00:00 05/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [22:00:00 05/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 230 u1: ml/B st: NotStopd t0: [22:00:00 05/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [22:00:00 05/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [22:00:00 05/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [22:00:00 05/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 06/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 145 rs: Manual st: NotStopd
t0: [20:00:00 05/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [23:00:00 05/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 05/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 05/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 05/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [23:00:00 05/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 05/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 05/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [23:00:00 05/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 05/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [23:00:00 05/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 05/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 05/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 06/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 06/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 06/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 06/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 06/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 06/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 06/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 06/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 06/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 06/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 06/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 06/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 06/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 06/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 06/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [00:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 06/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 06/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 06/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [00:00:00 06/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 06/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 06/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 06/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 06/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 06/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 06/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 06/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 06/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 06/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 06/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 06/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 06/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 06/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 06/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 06/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 06/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 06/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [00:00:00 06/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [00:00:00 06/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 06/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 06/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [00:00:00 06/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 06/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 06/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 06/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 06/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 06/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 06/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 06/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 06/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 06/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 06/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 06/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 06/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 06/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 06/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 06/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 06/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 06/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 06/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [00:00:00 06/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 06/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 06/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [00:00:00 06/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [00:00:00 06/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 06/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 06/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 06/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 06/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 06/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 06/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 06/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [00:00:00 06/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 06/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [00:00:00 06/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 06/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 06/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [00:00:00 06/12/2008] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 120 vu: ml t0: [00:00:00 06/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [00:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [00:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.4 vu: ml t0: [00:00:00 06/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [00:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [23:00:00 05/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24.8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24.8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 06/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 06/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 06/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 938.097 ap: none t0: [23:00:00 06/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2503.1 ap: none t0: [23:00:00 06/12/2008] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 180 ap: none t0: [23:00:00 06/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 1385 ap: none t0: [23:00:00 06/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1355 ap: none t0: [23:00:00 06/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 1148.1 ap: carryForward t0: [23:00:00 06/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1355 ap: carryForward t0: [23:00:00 06/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 5962.5 ap: carryForward
t0: [01:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [01:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [01:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [01:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [01:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [02:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [02:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [02:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [02:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [02:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.4 vu: ml t0: [02:00:00 06/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [02:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [01:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24.8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24.8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:30:00 06/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [02:30:00 06/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [02:00:00 06/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 06/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 06/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 06/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 06/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 06/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [02:00:00 06/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 06/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 06/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 06/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [03:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [03:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 06/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 06/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [03:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [03:00:00 06/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [03:00:00 06/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 53.6 u1: kg st: NotStopd t0: [03:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 06/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [03:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 06/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 06/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 06/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 06/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 06/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 06/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 06/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 06/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 06/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 06/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 06/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 06/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 06/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 06/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 06/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 06/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 06/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [04:00:00 06/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 06/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 06/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 06/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 06/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 06/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 06/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 06/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 06/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 06/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 06/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 06/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 06/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 06/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 06/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 06/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 06/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 06/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 06/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 06/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 06/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 06/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 06/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 06/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 06/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 06/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 06/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 06/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 06/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [04:00:00 06/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 06/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 06/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 06/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 06/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 06/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 06/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 06/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 06/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [04:00:00 06/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [04:00:00 06/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 06/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 06/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 06/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 06/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 06/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [04:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.4 vu: ml t0: [04:00:00 06/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [04:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [03:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24.8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 06/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [04:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 06/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 06/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 06/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [04:00:00 06/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 06/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 06/12/2008] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [04:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [04:00:00 06/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 06/12/2008] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Formed st: NotStopd t0: [04:00:00 06/12/2008] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 06/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 06/12/2008] id: BSA - English el: 0 cu: MICU-A cg: RN v1: 1.01284 u1: m2 st: NotStopd t0: [04:00:00 06/12/2008] id: BSA - Metric el: 0 cu: MICU-A cg: RN v1: 1.18772 u1: m2 st: NotStopd t0: [04:00:00 06/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 06/12/2008] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [04:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 06/12/2008] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd
t0: [04:00:00 06/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small
t0: [04:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24.8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 06/12/2008] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [04:13:00 06/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:13:00 06/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:13:00 06/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [04:13:00 06/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 120 u1: mmHg rs: Final st: NotStopd t0: [04:13:00 06/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [04:13:00 06/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.09 rs: Final st: NotStopd
t0: [04:15:00 06/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.1 u1: % rs: Final st: NotStopd t0: [04:15:00 06/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [04:15:00 06/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 337 rs: Final st: NotStopd t0: [04:15:00 06/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.49 u1: /mic l rs: Final st: NotStopd t0: [04:15:00 06/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.5 rs: Final st: NotStopd
t0: [04:15:00 06/12/2008] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:15:00 06/12/2008] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 11.9 rs: Final st: NotStopd t0: [04:15:00 06/12/2008] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 31.9 rs: Final st: NotStopd
t0: [04:15:00 06/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [04:15:00 06/12/2008] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [04:15:00 06/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [04:15:00 06/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [04:15:00 06/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:15:00 06/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [04:15:00 06/12/2008] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [04:15:00 06/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [04:15:00 06/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [04:15:00 06/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd
t0: [02:00:00 06/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.8095 u1: ml/cmH st: NotStopd t0: [02:00:00 06/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [02:00:00 06/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [02:00:00 06/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [02:00:00 06/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [02:00:00 06/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [02:00:00 06/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [02:00:00 06/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [02:00:00 06/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [02:00:00 06/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [02:00:00 06/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [02:00:00 06/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [02:00:00 06/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [02:00:00 06/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [02:00:00 06/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.6 u1: L/min st: NotStopd t0: [02:00:00 06/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [02:00:00 06/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [02:00:00 06/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [02:00:00 06/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [02:00:00 06/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [02:00:00 06/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 8 u1: . st: NotStopd t0: [02:00:00 06/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [02:00:00 06/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [02:00:00 06/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 6 u1: BPM st: NotStopd t0: [02:00:00 06/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [02:00:00 06/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [02:00:00 06/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [02:00:00 06/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [02:00:00 06/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [02:00:00 06/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [02:00:00 06/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd t0: [05:00:00 06/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [05:00:00 06/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [05:00:00 06/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [05:00:00 06/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [05:00:00 06/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 06/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 06/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [05:00:00 06/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 06/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 06/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [05:00:00 06/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [05:00:00 06/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [05:00:00 06/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 06/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8.1 u1: cmH2O st: NotStopd t0: [05:00:00 06/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 4.8 u1: L/min st: NotStopd t0: [05:00:00 06/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 06/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [05:00:00 06/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [05:00:00 06/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [05:00:00 06/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:00:00 06/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 8 u1: . st: NotStopd t0: [05:00:00 06/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [05:00:00 06/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 9 u1: BPM st: NotStopd t0: [05:00:00 06/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 6 u1: BPM st: NotStopd t0: [05:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [05:00:00 06/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:00:00 06/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:00:00 06/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 270 u1: ml/B st: NotStopd t0: [05:00:00 06/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [05:00:00 06/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [05:00:00 06/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [05:00:00 06/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [05:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [05:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [05:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [05:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [05:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 06/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 06/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [06:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [06:00:00 06/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [06:00:00 06/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 06/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 06/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [06:00:00 06/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 06/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 06/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 06/12/2008] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 60 vu: ml t0: [06:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [06:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.4 vu: ml t0: [06:00:00 06/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [06:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [05:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24.8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24.8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 06/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 06/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 06/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 06/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 06/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 06/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [06:00:00 06/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 06/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [06:05:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:05:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:05:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:05:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [06:05:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:05:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 178 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [06:05:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [06:05:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:05:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [06:05:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:05:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:05:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 06/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [06:05:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 06/12/2008] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 06/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 06/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 06/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 06/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 06/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 06/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 06/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 06/12/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable st: NotStopd t0: [08:00:00 06/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [08:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 06/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [08:00:00 06/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 06/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [08:00:00 06/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 06/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 06/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 06/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 06/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 107 u1: BPM st: NotStopd t0: [08:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 06/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 06/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 06/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Femoral st: NotStopd t0: [08:00:00 06/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 06/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 06/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 06/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 06/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 06/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 06/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 06/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 06/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 06/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [08:00:00 06/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 06/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [08:00:00 06/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 06/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [08:00:00 06/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 06/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 06/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 06/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 06/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 06/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 128 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [08:00:00 06/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 06/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 06/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [08:00:00 06/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 06/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 06/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 06/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 06/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 06/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 06/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 06/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 06/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [08:00:00 06/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Localizes st: NotStopd t0: [08:00:00 06/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [08:00:00 06/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 06/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 06/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 06/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [08:00:00 06/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 06/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 06/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [08:00:00 06/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 06/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.3889 u1: Deg. C st: NotStopd t0: [08:00:00 06/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.3 u1: Deg. F st: NotStopd t0: [08:00:00 06/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 06/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 06/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 06/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [08:00:00 06/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 06/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 06/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [08:00:00 06/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 06/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 06/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 06/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 06/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 06/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 06/12/2008] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 06/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [08:00:00 06/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 vu: ml t0: [08:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [08:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 6.26667 vu: ml t0: [08:00:00 06/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml t0: [08:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 180 vu: ml
t0: [08:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:45:00 06/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [08:45:00 06/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:45:00 06/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [08:45:00 06/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [08:45:00 06/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:45:00 06/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:45:00 06/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:45:00 06/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:45:00 06/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:45:00 06/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [08:45:00 06/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [08:45:00 06/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [08:45:00 06/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:45:00 06/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:45:00 06/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.2 u1: L/min st: NotStopd t0: [08:45:00 06/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:45:00 06/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [08:45:00 06/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [08:45:00 06/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:45:00 06/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:45:00 06/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 8 u1: . st: NotStopd t0: [08:45:00 06/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 9 u1: BPM st: NotStopd t0: [08:45:00 06/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [08:45:00 06/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 6 u1: BPM st: NotStopd t0: [08:45:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [08:45:00 06/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [08:45:00 06/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:45:00 06/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 240 u1: ml/B st: NotStopd t0: [08:45:00 06/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [08:45:00 06/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [08:45:00 06/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [08:45:00 06/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 06/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 06/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:40:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:40:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [08:40:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:40:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [08:40:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:40:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [08:40:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [08:40:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [08:40:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:40:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [09:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [09:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [09:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 89 u1: BPM st: NotStopd t0: [09:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 119 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [09:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [09:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [09:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [09:00:00 06/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [09:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [09:00:00 06/12/2008] tf: [14:13:00 17/12/2008] dt: 16153 id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [09:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 06/12/2008] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [09:00:00 06/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 06/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [09:00:00 06/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [09:00:00 06/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [09:00:00 06/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [09:00:00 06/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [09:00:00 06/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [09:00:00 06/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [09:00:00 06/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [09:00:00 06/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [09:00:00 06/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [09:00:00 06/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [09:00:00 06/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [09:00:00 06/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [09:00:00 06/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [09:00:00 06/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [09:00:00 06/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [09:00:00 06/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Localizes st: NotStopd t0: [09:00:00 06/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [09:00:00 06/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [09:00:00 06/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 06/12/2008] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [10:00:00 06/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 06/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 06/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 06/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [10:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [10:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 06/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [10:00:00 06/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [10:00:00 06/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [10:00:00 06/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [10:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 92 u1: BPM st: NotStopd t0: [10:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 06/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [10:00:00 06/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [10:00:00 06/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [10:00:00 06/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [10:00:00 06/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [10:00:00 06/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [10:00:00 06/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [10:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 142 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [10:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [10:00:00 06/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [10:00:00 06/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 06/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [10:00:00 06/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [10:00:00 06/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [10:00:00 06/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 06/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [10:00:00 06/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Localizes st: NotStopd t0: [10:00:00 06/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [10:00:00 06/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 06/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 06/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 06/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [10:00:00 06/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [10:00:00 06/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [10:00:00 06/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 06/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd
t0: [10:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [10:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 7.875 vu: ml t0: [10:00:00 06/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [10:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [10:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 18 du: mcgmin sv: 250 su: ml rt: IV Drip
io: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ra: 55 ru: ml/hr
id: Promote w/fiber el: 1 cu: MICU-A cg: -1 io: Promote w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [10:00:00 06/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [10:00:00 06/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 06/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 06/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [10:00:00 06/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [10:00:00 06/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [11:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [11:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 98 u1: BPM st: NotStopd t0: [11:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 133 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [11:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [11:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [11:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [11:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [11:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 4.5 vu: ml t0: [11:00:00 06/12/2008] id: Impact w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml st: Stopped t0: [11:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [11:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 18 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:52:00 06/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [11:52:00 06/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [11:52:00 06/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [11:52:00 06/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:52:00 06/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [11:52:00 06/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [11:52:00 06/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [11:52:00 06/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:52:00 06/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [11:52:00 06/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [11:52:00 06/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [11:52:00 06/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:52:00 06/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:52:00 06/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 4.8 u1: L/min st: NotStopd t0: [11:52:00 06/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:52:00 06/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [11:52:00 06/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [11:52:00 06/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 11 u1: BPM st: NotStopd t0: [11:52:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [11:52:00 06/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [11:52:00 06/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [11:52:00 06/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [11:52:00 06/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [11:52:00 06/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 06/12/2008] id: Pain Location el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [08:00:00 06/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [09:00:00 06/12/2008] id: Pain Location el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [10:00:00 06/12/2008] id: Pain Location el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [12:00:00 06/12/2008] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 06/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 06/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 06/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 06/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 06/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 06/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 06/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [12:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 06/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 06/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: Inconsistently st: NotStopd t0: [12:00:00 06/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [12:00:00 06/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 06/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 06/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 06/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 06/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [12:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 94 u1: BPM st: NotStopd t0: [12:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 06/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [12:00:00 06/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 06/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Femoral st: NotStopd t0: [12:00:00 06/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 06/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 06/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 06/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 06/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 06/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 06/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft Distended st: NotStopd t0: [12:00:00 06/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 06/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 06/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [12:00:00 06/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 06/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [12:00:00 06/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 06/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 06/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 06/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 06/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 06/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 138 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [12:00:00 06/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [12:00:00 06/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [12:00:00 06/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 06/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 06/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 06/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 06/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 06/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 06/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 06/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 06/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:00:00 06/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 06/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [12:00:00 06/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 06/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 06/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 06/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [12:00:00 06/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 06/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [12:00:00 06/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.3889 u1: Deg. C st: NotStopd t0: [12:00:00 06/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.3 u1: Deg. F st: NotStopd t0: [12:00:00 06/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [12:00:00 06/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 06/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 06/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 06/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [12:00:00 06/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 06/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 06/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 06/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 06/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 06/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 06/12/2008] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [12:00:00 06/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [12:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [12:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 4.5 vu: ml t0: [12:00:00 06/12/2008] tf: [18:00:00 07/12/2008] dt: 1800 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [12:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [12:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 15.2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:35:00 06/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:35:00 06/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [12:35:00 06/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [12:35:00 06/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:35:00 06/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:35:00 06/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:35:00 06/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [12:35:00 06/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [12:35:00 06/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10.5 u1: cmH2O st: NotStopd t0: [12:35:00 06/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 4.6 u1: L/min st: NotStopd t0: [12:35:00 06/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:35:00 06/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:35:00 06/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [12:35:00 06/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 11 u1: BPM st: NotStopd t0: [12:35:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [12:35:00 06/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [12:35:00 06/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [12:35:00 06/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [12:35:00 06/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [12:35:00 06/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [12:40:00 06/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [12:40:00 06/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [12:40:00 06/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [12:40:00 06/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 131 u1: mmHg rs: Final st: NotStopd t0: [12:40:00 06/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [13:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [13:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [13:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 96 u1: BPM st: NotStopd t0: [13:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 139 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [13:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [13:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [13:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [13:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [13:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 3.8 vu: ml t0: [13:00:00 06/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [13:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [13:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 15.2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 06/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 06/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [14:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [14:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 109 u1: BPM st: NotStopd t0: [14:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 138 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [14:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [14:00:00 06/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [14:00:00 06/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 06/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [14:00:00 06/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [14:00:00 06/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 06/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 06/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 06/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [14:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 06/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd
t0: [14:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [14:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 3.8 vu: ml t0: [14:00:00 06/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [14:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [14:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 15.2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:30:00 06/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [15:30:00 06/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [15:30:00 06/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [15:30:00 06/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:30:00 06/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [15:30:00 06/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [15:30:00 06/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [15:30:00 06/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [15:30:00 06/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9.5 u1: cmH2O st: NotStopd t0: [15:30:00 06/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [15:30:00 06/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:30:00 06/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:30:00 06/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [15:30:00 06/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [15:30:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [15:30:00 06/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 310 u1: ml/B st: NotStopd t0: [15:30:00 06/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [15:30:00 06/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [15:30:00 06/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [15:30:00 06/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 06/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 06/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [14:00:00 06/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [14:00:00 06/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [14:00:00 06/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [14:00:00 06/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [14:00:00 06/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [14:00:00 06/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [14:00:00 06/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [14:00:00 06/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [14:00:00 06/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 06/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [14:00:00 06/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [14:00:00 06/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 06/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [14:00:00 06/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [14:00:00 06/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [14:00:00 06/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [14:00:00 06/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [14:00:00 06/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [14:00:00 06/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [15:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [15:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 107 u1: BPM st: NotStopd t0: [15:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 140 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [15:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [15:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [15:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [15:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 06/12/2008] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 06/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 06/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [16:00:00 06/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [16:00:00 06/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 06/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 06/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 06/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 06/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [16:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [16:00:00 06/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 06/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 06/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [16:00:00 06/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 06/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 06/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 06/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [16:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 106 u1: BPM st: NotStopd t0: [16:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 06/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [16:00:00 06/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Femoral st: NotStopd t0: [16:00:00 06/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [16:00:00 06/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 06/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [16:00:00 06/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 06/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [16:00:00 06/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 06/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft Distended st: NotStopd t0: [16:00:00 06/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 06/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 06/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [16:00:00 06/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 06/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [16:00:00 06/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [16:00:00 06/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 06/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [16:00:00 06/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 06/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 06/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 06/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 06/12/2008] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 06/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 06/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 129 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [16:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [16:00:00 06/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 06/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 06/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [16:00:00 06/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 06/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 06/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [16:00:00 06/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 06/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [16:00:00 06/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 06/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 06/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 06/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [16:00:00 06/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 06/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [16:00:00 06/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 06/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 06/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 06/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 06/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [16:00:00 06/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 06/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 06/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [16:00:00 06/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.7778 u1: Deg. C st: NotStopd t0: [16:00:00 06/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100 u1: Deg. F st: NotStopd t0: [16:00:00 06/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 06/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 06/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 06/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [16:00:00 06/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 06/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 06/12/2008] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 06/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [16:00:00 06/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 06/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 06/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 06/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 06/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 06/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 06/12/2008] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 06/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [15:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [15:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 3.8 vu: ml t0: [15:00:00 06/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [15:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 60 vu: ml t0: [16:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [16:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 3.8 vu: ml t0: [16:00:00 06/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [16:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [15:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 15.2 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 15.2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:06:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:06:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:06:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:06:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [17:06:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:06:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:06:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [17:06:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:06:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [17:06:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:06:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:06:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:06:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 22 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:09:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:09:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [17:09:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:09:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [17:09:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:09:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [17:09:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:09:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [17:09:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:09:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 28 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:18:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:18:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [17:18:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:18:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [17:18:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:18:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:18:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [17:18:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:18:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [17:18:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:18:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:18:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:18:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 28 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:02:00 06/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [17:02:00 06/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [17:02:00 06/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [17:02:00 06/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 101 u1: mmHg rs: Final st: NotStopd t0: [17:02:00 06/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [17:55:00 06/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [17:55:00 06/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [17:55:00 06/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [17:55:00 06/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:55:00 06/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:55:00 06/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [17:55:00 06/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [17:55:00 06/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [17:55:00 06/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [17:55:00 06/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [17:55:00 06/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [17:55:00 06/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:55:00 06/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9.2 u1: cmH2O st: NotStopd t0: [17:55:00 06/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.7 u1: L/min st: NotStopd t0: [17:55:00 06/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:55:00 06/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [17:55:00 06/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [17:55:00 06/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [17:55:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [17:55:00 06/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 280 u1: ml/B st: NotStopd t0: [17:55:00 06/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [17:55:00 06/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [17:55:00 06/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [17:55:00 06/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 06/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 06/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 06/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 06/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [18:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [18:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 06/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [18:00:00 06/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [18:00:00 06/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [18:00:00 06/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [18:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 104 u1: BPM st: NotStopd t0: [18:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 06/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [18:00:00 06/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [18:00:00 06/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [18:00:00 06/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [18:00:00 06/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 06/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [18:00:00 06/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [18:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 165 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [18:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg st: NotStopd t0: [18:00:00 06/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [18:00:00 06/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [18:00:00 06/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [18:00:00 06/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [18:00:00 06/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [18:00:00 06/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 06/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [18:00:00 06/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [18:00:00 06/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [18:00:00 06/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 06/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [18:00:00 06/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 06/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [18:00:00 06/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [18:00:00 06/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [18:00:00 06/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 06/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd
t0: [17:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [17:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 3.8 vu: ml t0: [17:00:00 06/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [17:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [18:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 06/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [16:00:00 06/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd
t0: [19:00:00 06/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [19:00:00 06/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [19:00:00 06/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [19:00:00 06/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [19:00:00 06/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [19:00:00 06/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [19:00:00 06/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [19:00:00 06/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [19:00:00 06/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.4 u1: Deg. C st: NotStopd t0: [19:00:00 06/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [19:00:00 06/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [19:00:00 06/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [19:00:00 06/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9.1 u1: cmH2O st: NotStopd t0: [19:00:00 06/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.3 u1: L/min st: NotStopd t0: [19:00:00 06/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [19:00:00 06/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [19:00:00 06/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 10 u1: . st: NotStopd t0: [19:00:00 06/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [19:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 06/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [19:00:00 06/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [19:00:00 06/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 290 u1: ml/B st: NotStopd t0: [19:00:00 06/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [19:00:00 06/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [19:00:00 06/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [20:00:00 06/12/2008] id: Gastric Nasogastric el: 1 cu: MICU-A cg: -1 vo: 0 st: D/C'd
t0: [20:00:00 06/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 06/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 06/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 06/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 06/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 06/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 06/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 06/12/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 06/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 06/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 06/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 06/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 06/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 06/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 06/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 06/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 114 u1: BPM st: NotStopd t0: [20:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 06/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 06/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [20:00:00 06/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 06/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 06/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 06/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 06/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 06/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 06/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 06/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 06/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 06/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 06/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 06/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 06/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [20:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [20:00:00 06/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 06/12/2008] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [20:00:00 06/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 06/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 06/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 06/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 06/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 06/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 06/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 06/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 06/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 06/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 06/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 06/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 06/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 06/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 06/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 06/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 06/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 06/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 06/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [20:00:00 06/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [20:00:00 06/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 06/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 06/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 06/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 06/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 06/12/2008] tf: [20:00:00 07/12/2008] dt: 1440 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [20:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 90 vu: ml t0: [20:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 16.605 vu: ml t0: [20:00:00 06/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 165 vu: ml t0: [20:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [20:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [21:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [21:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [21:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [21:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:30:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:30:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:30:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:30:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:30:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [21:30:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg st: NotStopd t0: [21:30:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:30:00 06/12/2008] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [21:30:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [21:30:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:30:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:30:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [21:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 5 vu: ml t0: [21:00:00 06/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml
t0: [21:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:30:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 18 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 06/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 06/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [22:00:00 06/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 06/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [22:00:00 06/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 06/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [22:00:00 06/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [22:00:00 06/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 06/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [22:00:00 06/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 06/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 06/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 06/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 06/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 06/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 06/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [22:00:00 06/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [22:00:00 06/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 90 degrees st: NotStopd t0: [22:00:00 06/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 06/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 06/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [22:00:00 06/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [22:00:00 06/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [22:00:00 06/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [22:00:00 06/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 06/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 06/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 06/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [22:00:00 06/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 06/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [22:00:00 06/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 06/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 06/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [22:00:00 06/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 06/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 06/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 06/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 06/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [22:00:00 06/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [22:00:00 06/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [22:00:00 06/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 06/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 06/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 06/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [22:00:00 06/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [22:00:00 06/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 4.75 vu: ml t0: [22:00:00 06/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [22:00:00 06/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 115 vu: ml
t0: [00:00:00 07/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 07/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [00:00:00 07/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [00:00:00 07/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 07/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 07/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [00:00:00 07/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [00:00:00 07/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 07/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.4 u1: Deg. C st: NotStopd t0: [00:00:00 07/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [00:00:00 07/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [00:00:00 07/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 07/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [00:00:00 07/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 5.5 u1: L/min st: NotStopd t0: [00:00:00 07/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 07/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:00:00 07/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd t0: [00:00:00 07/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [00:00:00 07/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: None st: NotStopd t0: [00:00:00 07/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 220 u1: ml/B st: NotStopd t0: [00:00:00 07/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [00:00:00 07/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [00:00:00 07/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [00:00:00 07/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 07/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 07/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 07/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 07/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 07/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 07/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 07/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 07/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 07/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 07/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [00:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 07/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 07/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [00:00:00 07/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 07/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 07/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 07/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 07/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 07/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 07/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 07/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 07/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [00:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [00:00:00 07/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [00:00:00 07/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 07/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 07/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 07/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 07/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 07/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 07/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 07/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 07/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 07/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [00:00:00 07/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 07/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 07/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 07/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [00:00:00 07/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [00:00:00 07/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 07/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 07/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 07/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [00:00:00 07/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 8 vu: ml t0: [00:00:00 07/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [00:00:00 07/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [00:00:00 07/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [01:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [01:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [01:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [01:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [01:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 07/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [01:31:00 07/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [01:31:00 07/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [01:31:00 07/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [01:31:00 07/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 125 u1: mmHg rs: Final st: NotStopd t0: [01:31:00 07/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [02:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [02:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [02:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [02:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [02:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [02:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [02:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 07/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [02:00:00 07/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 5 vu: ml t0: [02:00:00 07/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [02:00:00 07/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 07/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 10 u1: . st: NotStopd
t0: [02:30:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:30:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [02:30:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [02:30:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [02:30:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:30:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [02:30:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:30:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [02:30:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:30:00 07/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [03:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [03:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [03:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [03:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [03:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 07/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 07/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 07/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 07/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 07/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 07/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 07/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 07/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 07/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 07/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 121 u1: BPM st: NotStopd t0: [04:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 07/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 07/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [04:00:00 07/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 07/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 07/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 07/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 07/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 07/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 07/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [04:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 202 u1: mmHg st: NotStopd t0: [04:00:00 07/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [04:00:00 07/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 07/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 07/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 07/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:00:00 07/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 07/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 07/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 07/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 07/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 07/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 07/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 07/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 07/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [04:00:00 07/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [04:00:00 07/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 07/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 07/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 07/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 2.5 vu: ml t0: [04:00:00 07/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [03:00:00 07/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 07/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 07/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 07/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 07/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 07/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 07/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 07/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 07/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 07/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 07/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 07/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 07/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 07/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 07/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 07/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [04:00:00 07/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 07/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [04:00:00 07/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [04:00:00 07/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.3 u1: % rs: Final st: NotStopd t0: [04:00:00 07/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 07/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 342 rs: Final st: NotStopd t0: [04:00:00 07/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.56 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 07/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.4 rs: Final st: NotStopd
t0: [04:00:00 07/12/2008] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:00:00 07/12/2008] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.2 rs: Final st: NotStopd t0: [04:00:00 07/12/2008] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 29.9 rs: Final st: NotStopd
t0: [04:00:00 07/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 07/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [04:00:00 07/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [04:00:00 07/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 07/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 07/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [04:00:00 07/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [04:00:00 07/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 07/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.4 u1: Deg. C st: NotStopd t0: [04:00:00 07/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [04:00:00 07/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [04:00:00 07/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 07/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 07/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 5.4 u1: L/min st: NotStopd t0: [04:00:00 07/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 07/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:00:00 07/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 10 u1: . st: NotStopd t0: [04:00:00 07/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [04:00:00 07/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [04:00:00 07/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 07/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 260 u1: ml/B st: NotStopd t0: [04:00:00 07/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [04:00:00 07/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [04:00:00 07/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [05:00:00 07/12/2008] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 1.51832 u1: m2 t0: [05:00:00 07/12/2008] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 51.7 u1: kg t0: [05:00:00 07/12/2008] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [05:00:00 07/12/2008] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: MCA STOKE S/P THROMBOLYSIS t0: [05:00:00 07/12/2008] id: Service el: 1026 cu: MICU-A cg: -1 v1: NME t0: [05:00:00 07/12/2008] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 62 u1: inches t0: [05:00:00 07/12/2008] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [05:00:00 07/12/2008] id: Marital Status el: 1006 cu: MICU-A cg: -1 t0: [05:00:00 07/12/2008] id: Religion el: 1000 cu: MICU-A cg: -1 v1: JEW t0: [05:00:00 07/12/2008] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [05:00:00 07/12/2008] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [05:00:00 07/12/2008] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [05:00:00 07/12/2008] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [04:30:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:30:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 120 u1: BPM st: NotStopd t0: [04:30:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:30:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [04:30:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:30:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [04:30:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [04:30:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:30:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 114 u1: BPM st: NotStopd t0: [05:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [05:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [05:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [05:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:30:00 07/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 07/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 07/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd
t0: [04:00:00 07/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [04:00:00 07/12/2008] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 07/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:00:00 07/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [04:00:00 07/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [04:00:00 07/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 133 rs: Final st: NotStopd t0: [04:00:00 07/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:00:00 07/12/2008] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 07/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [04:00:00 07/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [05:00:00 07/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd
t0: [06:00:00 07/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 130 rs: Manual st: NotStopd
t0: [06:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 134 u1: BPM st: NotStopd t0: [06:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [06:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [06:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [06:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [06:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 07/12/2008] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 07/12/2008] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd
t0: [08:00:00 07/12/2008] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 07/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 07/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 07/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 07/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 07/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 07/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 07/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [08:00:00 07/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [08:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 07/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [08:00:00 07/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 07/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [08:00:00 07/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 07/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [08:00:00 07/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Absent st: NotStopd t0: [08:00:00 07/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 100 u1: BPM st: NotStopd t0: [08:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 07/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 07/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Femoral st: NotStopd t0: [08:00:00 07/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 07/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 07/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 07/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 07/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [08:00:00 07/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 07/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 07/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 07/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [08:00:00 07/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [08:00:00 07/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 07/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [08:00:00 07/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [08:00:00 07/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 07/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [08:00:00 07/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 07/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 07/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 07/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 07/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 139 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [08:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [08:00:00 07/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [08:00:00 07/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 07/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [08:00:00 07/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 07/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 3 mm st: NotStopd t0: [08:00:00 07/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 07/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 07/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 07/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 07/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 07/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 07/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [08:00:00 07/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Localizes st: NotStopd t0: [08:00:00 07/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [08:00:00 07/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 07/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 07/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 07/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 07/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [08:00:00 07/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 07/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [08:00:00 07/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 07/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [08:00:00 07/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.7222 u1: Deg. C st: NotStopd t0: [08:00:00 07/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.9 u1: Deg. F st: NotStopd t0: [08:00:00 07/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [08:00:00 07/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 07/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 07/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [08:00:00 07/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 07/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 07/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 07/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 07/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 07/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 07/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 07/12/2008] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 07/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [08:00:00 07/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml t0: [08:00:00 07/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml t0: [08:00:00 07/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [08:00:00 07/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [09:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [09:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 107 u1: BPM st: NotStopd t0: [09:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 142 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [09:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [09:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [09:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [09:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 07/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [09:00:00 07/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml t0: [09:00:00 07/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 25 vu: ml
t0: [09:00:00 07/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 07/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [09:00:00 07/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [09:00:00 07/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [09:00:00 07/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 07/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [09:00:00 07/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [09:00:00 07/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [09:00:00 07/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 07/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [09:00:00 07/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [09:00:00 07/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [09:00:00 07/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 07/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [09:00:00 07/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.25 u1: L/min st: NotStopd t0: [09:00:00 07/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 07/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [09:00:00 07/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [09:00:00 07/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 29 u1: BPM st: NotStopd t0: [09:00:00 07/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 230 u1: ml/B st: NotStopd t0: [09:00:00 07/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [09:00:00 07/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [09:00:00 07/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [18:00:00 06/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 149 rs: Manual st: NotStopd
t0: [08:00:00 07/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [10:00:00 07/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 07/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [10:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 106 u1: BPM st: NotStopd t0: [10:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 137 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [10:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [10:00:00 07/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [10:00:00 07/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 07/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [10:00:00 07/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [10:00:00 07/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 07/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 07/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [10:00:00 07/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [10:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 07/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd
t0: [10:00:00 07/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [10:00:00 07/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml t0: [10:00:00 07/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 25 vu: ml
t0: [10:00:00 07/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:30:00 07/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:30:00 07/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [12:30:00 07/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [12:30:00 07/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:30:00 07/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:30:00 07/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:30:00 07/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:30:00 07/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:30:00 07/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:30:00 07/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [12:30:00 07/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [12:30:00 07/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:30:00 07/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [12:30:00 07/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.9 u1: L/min st: NotStopd t0: [12:30:00 07/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:30:00 07/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:30:00 07/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [12:30:00 07/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 29 u1: BPM st: NotStopd t0: [12:30:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [12:30:00 07/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thin st: NotStopd t0: [12:30:00 07/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [12:30:00 07/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 240 u1: ml/B st: NotStopd t0: [12:30:00 07/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [12:30:00 07/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [12:30:00 07/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [11:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [11:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 112 u1: BPM st: NotStopd t0: [11:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 138 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [11:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [11:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [11:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [11:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [11:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/12/2008] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 07/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 07/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 07/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 07/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 07/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 07/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 07/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [12:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 07/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 07/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 07/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [12:00:00 07/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 07/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 07/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Absent st: NotStopd t0: [12:00:00 07/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [12:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 121 u1: BPM st: NotStopd t0: [12:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 07/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 07/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Femoral st: NotStopd t0: [12:00:00 07/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 07/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 07/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 07/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 07/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [12:00:00 07/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 07/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 07/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 07/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 07/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [12:00:00 07/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 07/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [12:00:00 07/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 07/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 07/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 07/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 07/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 148 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [12:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [12:00:00 07/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 07/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 07/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [12:00:00 07/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 07/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 3 mm st: NotStopd t0: [12:00:00 07/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 07/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 07/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 07/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 07/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 07/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 07/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [12:00:00 07/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 07/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [12:00:00 07/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 07/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 07/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 07/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 07/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [12:00:00 07/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 07/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [12:00:00 07/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.3333 u1: Deg. C st: NotStopd t0: [12:00:00 07/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.2 u1: Deg. F st: NotStopd t0: [12:00:00 07/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 07/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 07/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 07/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [12:00:00 07/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 07/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [13:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [13:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [13:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 125 u1: BPM st: NotStopd t0: [13:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 150 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [13:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [13:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [13:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [13:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 07/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [12:00:00 07/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml t0: [12:00:00 07/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 40 vu: ml t0: [13:00:00 07/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [13:00:00 07/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 st: D/C'd t0: [13:00:00 07/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 25 vu: ml
t0: [11:00:00 07/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 07/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 07/12/2008] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 07/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [14:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [14:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 108 u1: BPM st: NotStopd t0: [14:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 138 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [14:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [14:00:00 07/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [14:00:00 07/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 07/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [14:00:00 07/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [14:00:00 07/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 07/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 07/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [14:00:00 07/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [14:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 07/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd
t0: [14:00:00 07/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [14:00:00 07/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [08:00:00 07/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 07/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd
t0: [12:00:00 07/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 122 rs: Manual st: NotStopd
t0: [15:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [15:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [15:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 117 u1: BPM st: NotStopd t0: [15:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 137 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [15:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [15:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [15:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [15:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [15:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 07/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [15:00:00 07/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [15:00:00 07/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 250 vu: ml
t0: [12:00:00 07/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 07/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 07/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 07/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 07/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 07/12/2008] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 07/12/2008] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 07/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 07/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [16:00:00 07/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [16:00:00 07/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 07/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 07/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [16:00:00 07/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [16:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [16:00:00 07/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 07/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 07/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [16:00:00 07/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 07/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 07/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Absent st: NotStopd t0: [16:00:00 07/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [16:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 116 u1: BPM st: NotStopd t0: [16:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 07/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [16:00:00 07/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Femoral st: NotStopd t0: [16:00:00 07/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [16:00:00 07/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 07/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [16:00:00 07/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 07/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 20 st: NotStopd t0: [16:00:00 07/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 07/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 07/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 07/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 07/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [16:00:00 07/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 07/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [16:00:00 07/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 07/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 07/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 07/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 07/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 139 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [16:00:00 07/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 07/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 07/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [16:00:00 07/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 07/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 3 mm st: NotStopd t0: [16:00:00 07/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [16:00:00 07/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 07/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [16:00:00 07/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 07/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 07/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 07/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [16:00:00 07/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 07/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [16:00:00 07/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 07/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 07/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 07/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [16:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [16:00:00 07/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [16:00:00 07/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 07/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [16:00:00 07/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.7222 u1: Deg. C st: NotStopd t0: [16:00:00 07/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.9 u1: Deg. F st: NotStopd t0: [16:00:00 07/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 07/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 07/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 07/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 07/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [16:00:00 07/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 07/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 07/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 07/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 07/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 07/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 07/12/2008] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 07/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [16:00:00 07/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 500 vu: ml t0: [16:00:00 07/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [16:00:00 07/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [17:00:00 07/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 07/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 07/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 07/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 07/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 07/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 07/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 07/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 07/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [16:00:00 07/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 07/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [16:00:00 07/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [16:00:00 07/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 07/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 07/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:00:00 07/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 07/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 07/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [16:00:00 07/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [16:00:00 07/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [16:00:00 07/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 07/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [16:00:00 07/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7 u1: L/min st: NotStopd t0: [16:00:00 07/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 07/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:00:00 07/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 07/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 29 u1: BPM st: NotStopd t0: [16:00:00 07/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 230 u1: ml/B st: NotStopd t0: [16:00:00 07/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 07/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [16:00:00 07/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [17:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [17:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [17:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 102 u1: BPM st: NotStopd t0: [17:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 150 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [17:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [17:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [17:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [17:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 07/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 07/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 07/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 07/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [18:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [18:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 07/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [18:00:00 07/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [18:00:00 07/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [18:00:00 07/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Absent st: NotStopd t0: [18:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 97 u1: BPM st: NotStopd t0: [18:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 07/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [18:00:00 07/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [18:00:00 07/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [18:00:00 07/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 07/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [18:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 145 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [18:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [18:00:00 07/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 55 u1: kg st: NotStopd t0: [18:00:00 07/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [18:00:00 07/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 3 mm st: NotStopd t0: [18:00:00 07/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [18:00:00 07/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [18:00:00 07/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 07/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [18:00:00 07/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [18:00:00 07/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [18:00:00 07/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 07/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [18:00:00 07/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [18:00:00 07/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [18:00:00 07/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [18:00:00 07/12/2008] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [18:00:00 07/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 07/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd
t0: [17:00:00 07/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [17:00:00 07/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 30 vu: ml t0: [18:00:00 07/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [18:00:00 07/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [18:00:00 07/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 151 rs: Manual st: NotStopd
t0: [19:00:00 07/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [19:27:00 07/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [19:27:00 07/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [19:27:00 07/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [19:27:00 07/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [19:27:00 07/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [19:27:00 07/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [19:27:00 07/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [19:27:00 07/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [19:27:00 07/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.6 u1: Deg. C st: NotStopd t0: [19:27:00 07/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [19:27:00 07/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [19:27:00 07/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [19:27:00 07/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 6.8 u1: cmH2O st: NotStopd t0: [19:27:00 07/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 7 u1: L/min st: NotStopd t0: [19:27:00 07/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [19:27:00 07/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [19:27:00 07/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd t0: [19:27:00 07/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [19:27:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [19:27:00 07/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 250 u1: ml/B st: NotStopd t0: [19:27:00 07/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [19:27:00 07/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [19:27:00 07/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [19:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [19:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [19:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [19:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [19:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [19:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [19:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [19:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 07/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 07/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 07/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 07/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Awake, Anxious st: NotStopd t0: [20:00:00 07/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 07/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 07/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 07/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 07/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 07/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 07/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 07/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 07/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 07/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 07/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [20:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 07/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 07/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 07/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [20:00:00 07/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 07/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 07/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 07/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 07/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 07/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 07/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 07/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 07/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 07/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 07/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 07/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 07/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 07/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 07/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 07/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 07/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [20:00:00 07/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [20:00:00 07/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 07/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [20:00:00 07/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 07/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [20:00:00 07/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 07/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 07/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 07/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 07/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 07/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:00:00 07/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 07/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 07/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 07/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 07/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Awake, Anxious st: NotStopd t0: [20:00:00 07/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 07/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 07/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 07/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 07/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 07/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 07/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [20:00:00 07/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [20:00:00 07/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 07/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 07/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 07/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 07/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 07/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 07/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 07/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 07/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 07/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 07/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 07/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 07/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 07/12/2008] tf: [00:00:00 10/12/2008] dt: 3120 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 0 vu: ml nb: 1 t0: [20:00:00 07/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [20:00:00 07/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [20:00:00 07/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [20:00:00 07/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [21:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [21:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [21:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [21:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 07/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 07/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [22:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [22:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [22:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [22:00:00 07/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [22:00:00 07/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 07/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [22:00:00 07/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [22:00:00 07/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 07/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 07/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 07/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [22:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 07/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd
t0: [22:00:00 07/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 07/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [22:00:00 07/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [23:00:00 07/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 07/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 07/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1565.5 ap: none t0: [23:00:00 07/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1895.5 ap: none t0: [23:00:00 07/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 330 ap: none t0: [23:00:00 07/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 830 ap: none t0: [23:00:00 07/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 1065.5 ap: none t0: [23:00:00 07/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 830 ap: none t0: [23:00:00 07/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 7012.5 ap: carryForward
t0: [23:00:00 07/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 07/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:00:00 07/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 07/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [23:00:00 07/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 07/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 07/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [23:00:00 07/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 07/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [23:00:00 07/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [23:00:00 07/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 07/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 08/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 08/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 08/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 08/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Awake, Anxious st: NotStopd t0: [00:00:00 08/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 08/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 08/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 08/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [00:00:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 08/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 08/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 08/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 08/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 08/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 08/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 08/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [00:00:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 08/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 08/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 08/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [00:00:00 08/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 08/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 08/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 08/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 08/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 08/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 08/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 08/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 08/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 08/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 08/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 08/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 08/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 08/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 08/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 08/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 08/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 08/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:00:00 08/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [00:00:00 08/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 08/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 08/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [00:00:00 08/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 08/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [00:00:00 08/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 08/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 08/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 08/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 08/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 08/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 08/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 08/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 08/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 08/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 08/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Awake, Anxious st: NotStopd t0: [00:00:00 08/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 08/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 08/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 08/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 08/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 08/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 08/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [00:00:00 08/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [00:00:00 08/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 08/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 08/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 08/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 08/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [00:00:00 08/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [00:00:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [23:00:00 08/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 08/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 15 cv: 15 ap: none t0: [23:00:00 08/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 10 cv: 855 ap: none t0: [23:00:00 08/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 65 cv: 2252.5 ap: none t0: [23:00:00 08/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 55 cv: 1347.5 ap: none t0: [23:00:00 08/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 1067 ap: none t0: [23:00:00 08/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 15 cv: 1185.5 ap: carryForward t0: [23:00:00 08/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 50 cv: 1067 ap: carryForward t0: [23:00:00 08/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 15 cv: 8198 ap: carryForward
t0: [00:40:00 08/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [00:40:00 08/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [00:40:00 08/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [00:40:00 08/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:40:00 08/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:40:00 08/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [00:40:00 08/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [00:40:00 08/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:40:00 08/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.4 u1: Deg. C st: NotStopd t0: [00:40:00 08/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [00:40:00 08/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [00:40:00 08/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:40:00 08/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 6.8 u1: cmH2O st: NotStopd t0: [00:40:00 08/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.3 u1: L/min st: NotStopd t0: [00:40:00 08/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [00:40:00 08/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:40:00 08/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd t0: [00:40:00 08/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [00:40:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [00:40:00 08/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: None st: NotStopd t0: [00:40:00 08/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 310 u1: ml/B st: NotStopd t0: [00:40:00 08/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [00:40:00 08/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [00:40:00 08/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [01:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [01:00:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [01:00:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [01:00:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [01:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 08/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [01:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [01:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 08/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 155 rs: Manual st: NotStopd
t0: [00:00:00 08/12/2008] tf: [00:00:00 09/12/2008] dt: 1440 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml
t0: [02:00:00 08/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 08/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [02:00:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [02:00:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [02:00:00 08/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 08/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [02:00:00 08/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 08/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [02:00:00 08/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [02:00:00 08/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 08/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 08/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 08/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [02:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 08/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd
t0: [02:00:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [02:00:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [02:00:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [03:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:00:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [03:00:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [03:00:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [03:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 08/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [03:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [03:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 08/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 08/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 08/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 08/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Awake, Anxious st: NotStopd t0: [04:00:00 08/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 08/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 08/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 08/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 08/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 08/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 08/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 08/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 08/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 08/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 08/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [04:00:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 08/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 08/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 08/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [04:00:00 08/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 08/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 08/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 08/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 08/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 08/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 08/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 08/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 08/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 08/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 08/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 08/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 08/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 08/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 08/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 08/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 08/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 08/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [04:00:00 08/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [04:00:00 08/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 08/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 08/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 08/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [04:00:00 08/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 08/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 08/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 08/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 08/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 08/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:00:00 08/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 08/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [04:00:00 08/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 08/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 08/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Awake, Anxious st: NotStopd t0: [04:00:00 08/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 08/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 08/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 08/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 08/12/2008] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 08/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 08/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 08/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [04:00:00 08/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [04:00:00 08/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 08/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 08/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 08/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 08/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 08/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 08/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [04:00:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [04:00:00 08/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd
t0: [04:00:00 08/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large
t0: [04:00:00 08/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [04:46:00 08/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [04:46:00 08/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [04:46:00 08/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [04:46:00 08/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:46:00 08/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:46:00 08/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [04:46:00 08/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [04:46:00 08/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [04:46:00 08/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.5 u1: Deg. C st: NotStopd t0: [04:46:00 08/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [04:46:00 08/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [04:46:00 08/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:46:00 08/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [04:46:00 08/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 5.6 u1: L/min st: NotStopd t0: [04:46:00 08/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:46:00 08/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:46:00 08/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd t0: [04:46:00 08/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [04:46:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [04:46:00 08/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: None st: NotStopd t0: [04:46:00 08/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 240 u1: ml/B st: NotStopd t0: [04:46:00 08/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [04:46:00 08/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [04:46:00 08/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [04:00:00 08/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.5 u1: % rs: Final st: NotStopd t0: [04:00:00 08/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 08/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 414 rs: Final st: NotStopd t0: [04:00:00 08/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.54 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 08/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.4 rs: Final st: NotStopd
t0: [05:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [05:00:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [05:00:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [05:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 08/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:00:00 08/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [04:00:00 08/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [04:00:00 08/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [04:00:00 08/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 131 rs: Final st: NotStopd t0: [04:00:00 08/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:00:00 08/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [06:00:00 08/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 08/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [06:00:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [06:00:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [06:00:00 08/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 08/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 08/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [06:00:00 08/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [06:00:00 08/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 08/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 08/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 08/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [06:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 08/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd
t0: [06:00:00 08/12/2008] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 50 vu: ml t0: [06:00:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [06:00:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [23:00:00 08/12/2008] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 50 ap: none
t0: [06:40:00 08/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [06:40:00 08/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [06:40:00 08/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [06:40:00 08/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [06:40:00 08/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [06:40:00 08/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.15 rs: Final st: NotStopd
t0: [08:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [08:00:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [08:00:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [08:00:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [08:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 08/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 08/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [08:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [08:00:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [08:00:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [08:00:00 08/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 08/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.6667 u1: Deg. C st: NotStopd t0: [08:00:00 08/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.8 u1: Deg. F st: NotStopd
t0: [09:00:00 08/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 08/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [09:00:00 08/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [09:00:00 08/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [09:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 08/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 08/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [09:00:00 08/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [09:00:00 08/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [09:00:00 08/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [09:00:00 08/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [09:00:00 08/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [09:00:00 08/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 08/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [09:00:00 08/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [09:00:00 08/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [09:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [09:00:00 08/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [09:00:00 08/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [09:00:00 08/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [09:00:00 08/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 08/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [09:00:00 08/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 08/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [09:00:00 08/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [09:00:00 08/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [09:00:00 08/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 08/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [09:00:00 08/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [09:00:00 08/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 08/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 08/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [09:00:00 08/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [09:00:00 08/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [09:00:00 08/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [09:00:00 08/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [09:00:00 08/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [09:00:00 08/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [09:00:00 08/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [09:00:00 08/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [09:00:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [09:00:00 08/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [09:00:00 08/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 08/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 08/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [09:00:00 08/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [09:00:00 08/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [09:00:00 08/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [09:00:00 08/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [09:00:00 08/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [09:00:00 08/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [09:00:00 08/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 08/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [09:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 08/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [09:00:00 08/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [09:00:00 08/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [09:00:00 08/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [09:00:00 08/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 08/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [09:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 08/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [09:00:00 08/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [09:00:00 08/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [09:00:00 08/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [09:00:00 08/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [09:00:00 08/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 08/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [09:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 08/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [09:00:00 08/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [09:00:00 08/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 08/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [09:00:00 08/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [09:00:00 08/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [09:00:00 08/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [09:00:00 08/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [09:00:00 08/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [09:00:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [09:00:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [09:00:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [10:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 113 u1: BPM st: NotStopd t0: [10:00:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 145 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [10:00:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [10:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [10:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [10:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [10:00:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [10:00:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [08:50:00 08/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:50:00 08/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [08:50:00 08/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [08:50:00 08/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:50:00 08/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:50:00 08/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:50:00 08/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:50:00 08/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:50:00 08/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [08:50:00 08/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [08:50:00 08/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [08:50:00 08/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:50:00 08/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:50:00 08/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [08:50:00 08/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:50:00 08/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:50:00 08/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [08:50:00 08/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 32 u1: BPM st: NotStopd t0: [08:50:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [08:50:00 08/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 260 u1: ml/B st: NotStopd t0: [08:50:00 08/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:50:00 08/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [08:50:00 08/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [08:50:00 08/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Clear st: NotStopd t0: [08:50:00 08/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Clear st: NotStopd t0: [08:50:00 08/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Crackles st: NotStopd t0: [08:50:00 08/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Clear st: NotStopd t0: [08:50:00 08/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RRT v1: Tachypneic st: NotStopd
t0: [11:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 116 u1: BPM st: NotStopd t0: [11:00:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 148 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [11:00:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg st: NotStopd t0: [11:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [11:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [11:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 08/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 154 rs: Manual st: NotStopd
t0: [11:00:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [11:00:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [11:00:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [12:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 115 u1: BPM st: NotStopd t0: [12:00:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 147 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [12:00:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg st: NotStopd t0: [12:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [12:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 08/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 08/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 08/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.8 u1: Deg. F st: NotStopd t0: [12:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [12:00:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [12:00:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 15 vu: ml
t0: [13:00:00 08/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [13:00:00 08/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [13:00:00 08/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 5 u1: lpm st: NotStopd t0: [13:00:00 08/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [13:00:00 08/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [13:00:00 08/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [13:00:00 08/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [13:00:00 08/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 08/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [13:00:00 08/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [13:00:00 08/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [13:00:00 08/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 08/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [13:00:00 08/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.5 u1: L/min st: NotStopd t0: [13:00:00 08/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 08/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [13:00:00 08/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [13:00:00 08/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 29 u1: BPM st: NotStopd t0: [13:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [13:00:00 08/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 230 u1: ml/B st: NotStopd t0: [13:00:00 08/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [13:00:00 08/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [13:00:00 08/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [13:15:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:15:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:15:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:15:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 126 u1: BPM st: NotStopd t0: [13:15:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:15:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [13:15:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg st: NotStopd t0: [13:15:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:15:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [13:15:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:15:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:15:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 62.5 vu: ml t0: [13:15:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 68.75 vu: ml
t0: [13:30:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:30:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:30:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:30:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 145 u1: BPM st: NotStopd t0: [13:30:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:30:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [13:30:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg st: NotStopd t0: [13:30:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:30:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:30:00 08/12/2008] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [13:30:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:30:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 120 u1: BPM st: NotStopd t0: [14:00:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 145 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [14:00:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg st: NotStopd t0: [14:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [14:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [14:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [14:00:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 41.25 vu: ml t0: [14:00:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [15:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [15:00:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 123 u1: BPM st: NotStopd t0: [15:00:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 08/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 173 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [15:00:00 08/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg st: NotStopd t0: [15:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [15:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 08/12/2008] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 08/12/2008] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 08/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 08/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 08/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 08/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 08/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [16:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [16:00:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 08/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [16:00:00 08/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 104.333 u1: mmHg st: NotStopd t0: [16:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 08/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 08/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [16:00:00 08/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [16:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [16:00:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [16:00:00 08/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 08/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 08/12/2008] id: INV Line#1 D/C Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 26 st: NotStopd t0: [16:00:00 08/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 08/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 08/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 08/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 08/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 08/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 08/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 08/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 08/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 08/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 08/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [18:00:00 08/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 150 rs: Manual st: NotStopd
t0: [18:10:00 08/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [18:10:00 08/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [18:10:00 08/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 5 u1: lpm st: NotStopd t0: [18:10:00 08/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [18:10:00 08/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [18:10:00 08/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [18:10:00 08/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [18:10:00 08/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [18:10:00 08/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [18:10:00 08/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [18:10:00 08/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [18:10:00 08/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:10:00 08/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [18:10:00 08/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.2 u1: L/min st: NotStopd t0: [18:10:00 08/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:10:00 08/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [18:10:00 08/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [18:10:00 08/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [18:10:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [18:10:00 08/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 230 u1: ml/B st: NotStopd t0: [18:10:00 08/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [18:10:00 08/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [18:10:00 08/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [18:00:00 08/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 08/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 08/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 08/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 08/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [18:00:00 08/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [18:00:00 08/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [18:00:00 08/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 08/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 08/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [18:00:00 08/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 08/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [18:00:00 08/12/2008] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [18:00:00 08/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [18:00:00 08/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 08/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [18:30:00 08/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:30:00 08/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [18:30:00 08/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:30:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:30:00 08/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:30:00 08/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [18:30:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [18:30:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:30:00 08/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:30:00 08/12/2008] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to RN st: NotStopd t0: [18:30:00 08/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [18:30:00 08/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [18:30:00 08/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [18:30:00 08/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [18:30:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 114 u1: BPM st: NotStopd t0: [18:30:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:30:00 08/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [18:30:00 08/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [18:30:00 08/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [18:30:00 08/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [18:30:00 08/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:30:00 08/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:30:00 08/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [18:30:00 08/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [18:30:00 08/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [18:30:00 08/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [18:30:00 08/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [18:30:00 08/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [18:30:00 08/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 101.333 u1: mmHg st: NotStopd t0: [18:30:00 08/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [18:30:00 08/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:30:00 08/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:30:00 08/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [18:30:00 08/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:30:00 08/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:30:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:30:00 08/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [18:30:00 08/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [18:30:00 08/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [18:30:00 08/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [18:30:00 08/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:30:00 08/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:30:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [18:30:00 08/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [18:30:00 08/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [18:30:00 08/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:30:00 08/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:30:00 08/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:30:00 08/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:30:00 08/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [18:30:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:30:00 08/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [18:30:00 08/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [18:30:00 08/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [18:30:00 08/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [18:30:00 08/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:30:00 08/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:30:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:30:00 08/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [18:30:00 08/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [18:30:00 08/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [18:30:00 08/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [18:30:00 08/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [18:30:00 08/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [18:30:00 08/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [18:30:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [18:30:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 137.5 vu: ml t0: [18:30:00 08/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium t0: [18:30:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [23:00:00 08/12/2008] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [19:59:00 08/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [19:59:00 08/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [19:59:00 08/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 5 u1: lpm st: NotStopd t0: [19:59:00 08/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [19:59:00 08/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [19:59:00 08/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [19:59:00 08/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [19:59:00 08/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [19:59:00 08/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.5 u1: Deg. C st: NotStopd t0: [19:59:00 08/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [19:59:00 08/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [19:59:00 08/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [19:59:00 08/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 7.4 u1: cmH2O st: NotStopd t0: [19:59:00 08/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 5.6 u1: L/min st: NotStopd t0: [19:59:00 08/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [19:59:00 08/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [19:59:00 08/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd t0: [19:59:00 08/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [19:59:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [19:59:00 08/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 220 u1: ml/B st: NotStopd t0: [19:59:00 08/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [19:59:00 08/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [19:59:00 08/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [19:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [19:00:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [19:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 123 u1: BPM st: NotStopd t0: [19:00:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 08/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [19:00:00 08/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 101.333 u1: mmHg st: NotStopd t0: [19:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [19:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 08/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 08/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 08/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 08/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 08/12/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [20:00:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 08/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 08/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 08/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 08/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 08/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 08/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 08/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [20:00:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 08/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 08/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 08/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 08/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 08/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 08/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 08/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 08/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 08/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 08/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 08/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 08/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 08/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 08/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [20:00:00 08/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 08/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 08/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 08/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/12/2008] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 08/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 08/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 08/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [20:00:00 08/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 08/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 08/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 08/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 08/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 08/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [20:00:00 08/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 08/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 08/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 08/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 08/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 08/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 08/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 08/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 08/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 08/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [20:00:00 08/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [20:00:00 08/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [20:00:00 08/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 08/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 08/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 08/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 08/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 08/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 08/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 08/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 08/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 08/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 08/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 08/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [20:00:00 08/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [20:00:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 42 vu: ml
t0: [21:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [21:00:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [21:00:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 08/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:00:00 08/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [21:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [21:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [21:00:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 65 vu: ml
t0: [22:00:00 08/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 08/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [22:00:00 08/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 08/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 08/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [22:00:00 08/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [22:00:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [22:00:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 08/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 08/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [22:00:00 08/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [22:00:00 08/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 08/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 08/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [22:00:00 08/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [22:00:00 08/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [22:00:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 08/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 08/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [22:00:00 08/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [22:00:00 08/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [22:00:00 08/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 08/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [22:00:00 08/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 08/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 08/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 08/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 08/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [22:00:00 08/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 08/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [22:00:00 08/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [22:00:00 08/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 08/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [22:00:00 08/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 08/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 08/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 08/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 08/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [22:00:00 08/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 08/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 08/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 08/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [22:00:00 08/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 08/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 08/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [22:00:00 08/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 08/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 08/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 08/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 08/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [22:00:00 08/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [22:00:00 08/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 08/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 08/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 08/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 08/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [22:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 08/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [22:00:00 08/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [22:00:00 08/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [22:00:00 08/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 08/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 08/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 08/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 08/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [22:00:00 08/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [22:00:00 08/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [22:00:00 08/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [22:00:00 08/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 08/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [22:00:00 08/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [22:00:00 08/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [22:00:00 08/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [23:00:00 08/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 08/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [23:00:00 08/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 08/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [23:00:00 08/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 08/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:00:00 08/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [23:00:00 08/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 08/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [23:00:00 08/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 08/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [22:00:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 45 vu: ml t0: [23:00:00 08/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 08/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [23:00:00 08/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml
id: Gastric Meds el: 1 cu: MICU-A cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [00:00:00 09/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 09/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 09/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 09/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 09/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 09/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 09/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 09/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 09/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 09/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 09/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 09/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [00:00:00 09/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 09/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [00:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 09/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 09/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 09/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 09/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 09/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 09/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 09/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 09/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 09/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 09/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 09/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 09/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [00:00:00 09/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 09/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 09/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 09/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 09/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 09/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 09/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 09/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 09/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [00:00:00 09/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 09/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 09/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 09/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 09/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 09/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 09/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [00:00:00 09/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 09/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 09/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 09/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 09/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 09/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 09/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 09/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 09/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 09/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [00:00:00 09/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [00:00:00 09/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 09/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 09/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 09/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 09/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 09/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 09/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 09/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 09/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 09/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 09/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 09/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 09/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [00:00:00 09/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [00:00:00 09/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [00:00:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 09/12/2008] tf: [14:13:00 17/12/2008] dt: 12373 id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [00:00:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [00:00:00 09/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 35 vu: ml t0: [01:00:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [01:00:00 09/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [23:00:00 09/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 09/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 09/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 230 ap: none t0: [23:00:00 09/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2275 ap: none t0: [23:00:00 09/12/2008] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 780 ap: none t0: [23:00:00 09/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 1265 ap: none t0: [23:00:00 09/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 920 ap: none t0: [23:00:00 09/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 1355 ap: carryForward t0: [23:00:00 09/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 920 ap: carryForward t0: [23:00:00 09/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 9553 ap: carryForward
t0: [00:00:00 09/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 155 rs: Manual st: NotStopd t0: [00:54:00 09/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 20cm v2: Lip st: NotStopd t0: [00:54:00 09/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.3 u1: torr st: NotStopd t0: [00:54:00 09/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RN v1: 5 u1: lpm st: NotStopd t0: [00:54:00 09/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RN v1: 3 u1: cmH2O st: NotStopd t0: [00:54:00 09/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RN v1: 40 u1: cmH2O st: NotStopd t0: [00:54:00 09/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RN v1: 40 u1: BPM st: NotStopd t0: [00:54:00 09/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [00:54:00 09/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [00:54:00 09/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RN v1: 33.5 u1: Deg. C st: NotStopd t0: [00:54:00 09/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 18 st: NotStopd t0: [00:54:00 09/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RN v1: 3 st: NotStopd t0: [00:54:00 09/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RN v1: 10 u1: cmH2O st: NotStopd t0: [00:54:00 09/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RN v1: 7.3 u1: cmH2O st: NotStopd t0: [00:54:00 09/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RN v1: 5.7 u1: L/min st: NotStopd t0: [00:54:00 09/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [00:54:00 09/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:54:00 09/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RN v1: 5 u1: . st: NotStopd t0: [00:54:00 09/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:54:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:54:00 09/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RN v1: 240 u1: ml/B st: NotStopd t0: [00:54:00 09/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RN v1: CPAP+PS st: NotStopd t0: [00:54:00 09/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RN v1: 16 u1: # st: NotStopd t0: [00:54:00 09/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: 7200A st: NotStopd
t0: [01:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [01:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [01:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [01:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86.3333 u1: mmHg st: NotStopd t0: [01:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [01:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [02:00:00 09/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 55 vu: ml
t0: [02:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [02:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [02:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 09/12/2008] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 55 u1: kg st: NotStopd t0: [02:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 09/12/2008] id: BSA - English el: 0 cu: MICU-A cg: RN v1: 1.03136 u1: m2 st: NotStopd t0: [02:00:00 09/12/2008] id: BSA - Metric el: 0 cu: MICU-A cg: RN v1: 1.20894 u1: m2 st: NotStopd t0: [02:00:00 09/12/2008] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 1.8 u1: kg st: NotStopd t0: [02:00:00 09/12/2008] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd
t0: [02:00:00 09/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 09/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [02:00:00 09/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 09/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 09/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:00:00 09/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [02:00:00 09/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 09/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [02:00:00 09/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [02:00:00 09/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 09/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 09/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [02:00:00 09/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [02:00:00 09/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 09/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 09/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [02:00:00 09/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [02:00:00 09/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [02:00:00 09/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 09/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [02:00:00 09/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 09/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 09/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 09/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 09/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [02:00:00 09/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [02:00:00 09/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [02:00:00 09/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [02:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [02:00:00 09/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 09/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 09/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 09/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 09/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 09/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 09/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 09/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [02:00:00 09/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 09/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 09/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [02:00:00 09/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [02:00:00 09/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 09/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 09/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [02:00:00 09/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [02:00:00 09/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [02:00:00 09/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 09/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 09/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 09/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 09/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:00:00 09/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [02:00:00 09/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [02:00:00 09/12/2008] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [02:00:00 09/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [02:00:00 09/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 09/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 09/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 09/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 09/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd t0: [02:00:00 09/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [02:00:00 09/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [02:00:00 09/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [02:00:00 09/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [02:00:00 09/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [02:00:00 09/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [02:00:00 09/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [02:00:00 09/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [03:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [03:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 164 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [03:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 99.3333 u1: mmHg st: NotStopd t0: [03:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [03:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 09/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [03:00:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [03:00:00 09/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium t0: [03:00:00 09/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [04:00:00 09/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 09/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 09/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 09/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 09/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 09/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 09/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 09/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 09/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 09/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 09/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [04:00:00 09/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 09/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [04:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 09/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 09/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 09/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 09/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 09/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 09/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 09/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 09/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 09/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 09/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 09/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 09/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [04:00:00 09/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 09/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 09/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 09/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 09/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 09/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [04:00:00 09/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 09/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [04:00:00 09/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 09/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 09/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 09/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 09/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 09/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 09/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [04:00:00 09/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [04:00:00 09/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 09/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 09/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 09/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 09/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 09/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 09/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 09/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 09/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [04:00:00 09/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [04:00:00 09/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 09/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 09/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 09/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 09/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 09/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 09/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 09/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 09/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 09/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [04:00:00 09/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [04:00:00 09/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [04:00:00 09/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [04:00:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [04:00:00 09/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 28 vu: ml
t0: [04:00:00 09/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 09/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [04:00:00 09/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 5 u1: lpm st: NotStopd t0: [04:00:00 09/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 09/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 09/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [04:00:00 09/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [04:00:00 09/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 09/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.5 u1: Deg. C st: NotStopd t0: [04:00:00 09/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [04:00:00 09/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [04:00:00 09/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 09/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 7.3 u1: cmH2O st: NotStopd t0: [04:00:00 09/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 5.8 u1: L/min st: NotStopd t0: [04:00:00 09/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 09/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:00:00 09/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd t0: [04:00:00 09/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:00:00 09/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 260 u1: ml/B st: NotStopd t0: [04:00:00 09/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [04:00:00 09/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [04:00:00 09/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [04:43:00 09/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 u1: mmHg rs: Final st: NotStopd t0: [04:43:00 09/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 u1: mmHg rs: Final st: NotStopd t0: [04:43:00 09/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [04:43:00 09/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.11 rs: Final st: NotStopd
t0: [04:30:00 09/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.8 u1: % rs: Final st: NotStopd t0: [04:30:00 09/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 09/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 428 rs: Final st: NotStopd t0: [04:30:00 09/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.2 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 09/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.7 rs: Final st: NotStopd
t0: [05:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [05:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [05:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [05:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [05:00:00 09/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [04:30:00 09/12/2008] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:30:00 09/12/2008] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.4 rs: Final st: NotStopd t0: [04:30:00 09/12/2008] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 30.5 rs: Final st: NotStopd
t0: [04:30:00 09/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:30:00 09/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [04:30:00 09/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [04:30:00 09/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [04:30:00 09/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 161 rs: Final st: NotStopd t0: [04:30:00 09/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:30:00 09/12/2008] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 09/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [06:00:00 09/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 09/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [06:00:00 09/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 09/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 09/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [06:00:00 09/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 09/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 09/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [06:00:00 09/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [06:00:00 09/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 09/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 09/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [06:00:00 09/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [06:00:00 09/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 09/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 09/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [06:00:00 09/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [06:00:00 09/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [06:00:00 09/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 09/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [06:00:00 09/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 09/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 09/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 09/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [06:00:00 09/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [06:00:00 09/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [06:00:00 09/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [06:00:00 09/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 09/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 09/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 09/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 09/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 09/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 09/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 09/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 09/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [06:00:00 09/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 09/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [06:00:00 09/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [06:00:00 09/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [06:00:00 09/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 09/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 09/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [06:00:00 09/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [06:00:00 09/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [06:00:00 09/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 09/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 09/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 09/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 09/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [06:00:00 09/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [06:00:00 09/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [06:00:00 09/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [06:00:00 09/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 09/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 09/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 09/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 09/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [06:00:00 09/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [06:00:00 09/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [06:00:00 09/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [06:00:00 09/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [06:00:00 09/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [06:00:00 09/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [06:00:00 09/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [06:00:00 09/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [06:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [06:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [06:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [06:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [06:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml
t0: [04:30:00 09/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: RN v1: 3.7 rs: Final st: NotStopd
t0: [06:00:00 09/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 09/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [07:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [07:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [07:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [07:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [07:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [07:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [07:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [07:00:00 09/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 37 vu: ml
t0: [08:00:00 09/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 09/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [08:00:00 09/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [08:00:00 09/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 09/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 09/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [08:00:00 09/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [08:00:00 09/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 09/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.5 u1: Deg. C st: NotStopd t0: [08:00:00 09/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [08:00:00 09/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [08:00:00 09/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 09/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [08:00:00 09/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 5.66 u1: L/min st: NotStopd t0: [08:00:00 09/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 09/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 09/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd t0: [08:00:00 09/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [08:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 09/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 250 u1: ml/B st: NotStopd t0: [08:00:00 09/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [08:00:00 09/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [08:00:00 09/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [08:30:00 09/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:30:00 09/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:30:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:30:00 09/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:30:00 09/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:30:00 09/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:30:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:30:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:30:00 09/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:30:00 09/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:30:00 09/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [08:30:00 09/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:30:00 09/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:30:00 09/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [08:30:00 09/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:30:00 09/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:30:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 124 u1: BPM st: NotStopd t0: [08:30:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:30:00 09/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:30:00 09/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:30:00 09/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:30:00 09/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:30:00 09/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:30:00 09/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:30:00 09/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:30:00 09/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:30:00 09/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:30:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [08:30:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [08:30:00 09/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:30:00 09/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:30:00 09/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:30:00 09/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:30:00 09/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:30:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:30:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [08:30:00 09/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:30:00 09/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [08:30:00 09/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:30:00 09/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:30:00 09/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:30:00 09/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:30:00 09/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:30:00 09/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:30:00 09/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:30:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [08:30:00 09/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [08:30:00 09/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [08:30:00 09/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:30:00 09/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:30:00 09/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:30:00 09/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:30:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:30:00 09/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:30:00 09/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:30:00 09/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:30:00 09/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:30:00 09/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [08:30:00 09/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [08:30:00 09/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [08:30:00 09/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:30:00 09/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:30:00 09/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:30:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:30:00 09/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:30:00 09/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:30:00 09/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:30:00 09/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:30:00 09/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:30:00 09/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:30:00 09/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:30:00 09/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [08:30:00 09/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:30:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [08:30:00 09/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [08:30:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 82.5 vu: ml t0: [08:30:00 09/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [08:30:00 09/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:30:00 09/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:30:00 09/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:30:00 09/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:30:00 09/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:00:00 09/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 116 u1: BPM st: NotStopd t0: [09:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 09/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 09/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [09:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 87.6667 u1: mmHg st: NotStopd t0: [09:00:00 09/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [09:00:00 09/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [09:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 09/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 09/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 09/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [09:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:30:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [10:30:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:30:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [10:30:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:30:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [10:30:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:30:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:30:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [10:30:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:30:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [10:30:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:30:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml
t0: [12:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [12:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [12:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [12:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [12:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 09/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 09/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 09/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [12:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [12:00:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 82.5 vu: ml t0: [12:00:00 09/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [12:00:00 09/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 141 rs: Manual st: NotStopd
t0: [12:00:00 09/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml
t0: [12:50:00 09/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [12:50:00 09/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [12:50:00 09/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [12:50:00 09/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [12:50:00 09/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [12:50:00 09/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [12:50:00 09/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [12:50:00 09/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:50:00 09/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.5 u1: Deg. C st: NotStopd t0: [12:50:00 09/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [12:50:00 09/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [12:50:00 09/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:50:00 09/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [12:50:00 09/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 5.4 u1: L/min st: NotStopd t0: [12:50:00 09/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:50:00 09/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:50:00 09/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd t0: [12:50:00 09/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:50:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [12:50:00 09/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 220 u1: ml/B st: NotStopd t0: [12:50:00 09/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [12:50:00 09/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [12:50:00 09/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [13:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [13:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [13:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [13:00:00 09/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [16:00:00 09/12/2008] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [13:00:00 09/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [13:00:00 09/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 09/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 09/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 09/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [14:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [14:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 09/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 09/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 09/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 09/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 09/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 09/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 09/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 09/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 09/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 09/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [16:00:00 09/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 09/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 108 u1: BPM st: NotStopd t0: [16:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 09/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 09/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 09/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 09/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 09/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 09/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 09/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 09/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 09/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 09/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 09/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 09/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86.3333 u1: mmHg st: NotStopd t0: [16:00:00 09/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 09/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 09/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 09/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 09/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [16:00:00 09/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 09/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [16:00:00 09/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 09/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 09/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 09/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 09/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 09/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [16:00:00 09/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [16:00:00 09/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 09/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 09/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 09/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 09/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 09/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 09/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 09/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 09/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [16:00:00 09/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [16:00:00 09/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 09/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 09/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 09/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 09/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 09/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:00:00 09/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 09/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 09/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 09/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 09/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [16:00:00 09/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [16:00:00 09/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [16:00:00 09/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [16:00:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 165 vu: ml t0: [16:00:00 09/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [13:00:00 09/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [16:00:00 09/12/2008] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd
t0: [16:00:00 09/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large
t0: [23:00:00 09/12/2008] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [16:00:00 09/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 09/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [16:00:00 09/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [16:00:00 09/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 09/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 09/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [16:00:00 09/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [16:00:00 09/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 09/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [16:00:00 09/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [16:00:00 09/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [16:00:00 09/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 09/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [16:00:00 09/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 5.6 u1: L/min st: NotStopd t0: [16:00:00 09/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 09/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 09/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd t0: [16:00:00 09/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [16:00:00 09/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 250 u1: ml/B st: NotStopd t0: [16:00:00 09/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [16:00:00 09/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [16:00:00 09/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [18:00:00 09/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [18:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [18:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [18:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [18:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [18:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [18:00:00 09/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [18:00:00 09/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 124 rs: Manual st: NotStopd
t0: [20:00:00 09/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 09/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 09/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 09/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 09/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [20:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 09/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 09/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 09/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 09/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 09/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 09/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 09/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [20:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 09/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 09/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 09/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 09/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 09/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 09/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [20:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 90.3333 u1: mmHg st: NotStopd t0: [20:00:00 09/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 09/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 09/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [20:00:00 09/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 09/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 2 mm st: NotStopd t0: [20:00:00 09/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 09/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 09/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 09/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [20:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 09/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 09/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 09/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 09/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [20:00:00 09/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [20:00:00 09/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 09/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 09/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 09/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [20:00:00 09/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [20:20:00 09/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:20:00 09/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [20:20:00 09/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [20:20:00 09/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:20:00 09/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:20:00 09/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:20:00 09/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:20:00 09/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:20:00 09/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [20:20:00 09/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [20:20:00 09/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [20:20:00 09/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:20:00 09/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:20:00 09/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 4.7 u1: L/min st: NotStopd t0: [20:20:00 09/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:20:00 09/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:20:00 09/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [20:20:00 09/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:20:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [20:20:00 09/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 210 u1: ml/B st: NotStopd t0: [20:20:00 09/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:20:00 09/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [20:20:00 09/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [20:00:00 09/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 09/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 09/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 09/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 09/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 09/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 09/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 09/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [20:00:00 09/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 09/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 09/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 09/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 09/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 09/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 09/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 09/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 09/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [20:00:00 09/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 09/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 09/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 09/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 09/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 09/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 09/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 09/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [21:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [21:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [21:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [21:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [21:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 09/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 09/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 09/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 09/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 09/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 09/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 09/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [22:00:00 09/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [22:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 09/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [22:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 09/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 09/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [22:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 85.3333 u1: mmHg st: NotStopd t0: [22:00:00 09/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [22:00:00 09/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 09/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [22:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [22:00:00 09/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 09/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:00:00 09/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [22:00:00 09/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 09/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 09/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 09/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [22:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 09/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 09/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [22:00:00 09/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [23:00:00 09/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [23:00:00 09/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 09/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [23:00:00 09/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 09/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [23:00:00 09/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 09/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [23:00:00 09/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82.3333 u1: mmHg st: NotStopd t0: [23:00:00 09/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 09/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [23:00:00 09/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [23:00:00 09/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 09/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [00:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [00:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [00:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [00:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 10/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 10/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 10/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 10/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 10/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 10/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 10/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 10/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 10/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 10/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 10/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 10/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Undigested Food st: NotStopd t0: [00:00:00 10/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 10/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 10/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 10/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 10/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 10/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 10/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 10/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 10/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 10/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 10/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 10/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 10/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 10/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 10/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 10/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 10/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 10/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 10/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 10/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [00:00:00 10/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [00:00:00 10/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 10/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 10/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 10/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 10/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 10/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 10/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [00:00:00 10/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 10/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 10/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 10/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 10/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 10/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 10/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 10/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [00:00:00 10/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 10/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 10/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 10/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 10/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 10/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 10/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 10/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 149 rs: Manual st: NotStopd t0: [00:00:00 10/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 10/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 10/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [00:00:00 10/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml st: Stopped t0: [00:00:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [23:00:00 10/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 10/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 10/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1010.17 ap: none t0: [23:00:00 10/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1876.83 ap: none t0: [23:00:00 10/12/2008] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 170 ap: none t0: [23:00:00 10/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 696.667 ap: none t0: [23:00:00 10/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1527 ap: none t0: [23:00:00 10/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 349.833 ap: carryForward t0: [23:00:00 10/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1527 ap: carryForward t0: [23:00:00 10/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 9722.67 ap: carryForward
t0: [00:25:00 10/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:25:00 10/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [00:25:00 10/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [00:25:00 10/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:25:00 10/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:25:00 10/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:25:00 10/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:25:00 10/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:25:00 10/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [00:25:00 10/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [00:25:00 10/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [00:25:00 10/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:25:00 10/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.4 u1: cmH2O st: NotStopd t0: [00:25:00 10/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.5 u1: L/min st: NotStopd t0: [00:25:00 10/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:25:00 10/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:25:00 10/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [00:25:00 10/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [00:25:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [00:25:00 10/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 220 u1: ml/B st: NotStopd t0: [00:25:00 10/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:25:00 10/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [00:25:00 10/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [01:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [01:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [01:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [01:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86.3333 u1: mmHg st: NotStopd t0: [01:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [01:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [02:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [02:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [02:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [02:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [02:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 10/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 10/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 10/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 10/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [02:00:00 10/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [02:00:00 10/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [02:00:00 10/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [02:00:00 10/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd
t0: [02:00:00 10/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [03:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [03:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [03:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [03:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92.6667 u1: mmHg st: NotStopd t0: [03:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [03:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [03:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:19:00 10/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:19:00 10/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [04:19:00 10/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [04:19:00 10/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 75 u1: mmHg rs: Final st: NotStopd t0: [04:19:00 10/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [04:19:00 10/12/2008] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 95 u1: % rs: Final st: NotStopd
t0: [04:00:00 10/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [04:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RRT v1: 18 u1: mmHg st: NotStopd t0: [04:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [04:00:00 10/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RRT v1: Occasional st: NotStopd t0: [04:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RRT v1: PVC's st: NotStopd t0: [04:00:00 10/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [04:00:00 10/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 135 u1: BPM st: NotStopd t0: [04:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RRT v1: Atrial Fib st: NotStopd t0: [04:00:00 10/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 10/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 10/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:25 st: NotStopd t0: [04:00:00 10/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 10/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 10/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:00:00 10/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [04:00:00 10/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [04:00:00 10/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 10/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 6.4 u1: cmH2O st: NotStopd t0: [04:00:00 10/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [04:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RRT v1: 137 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [04:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RRT v1: 85 u1: mmHg st: NotStopd t0: [04:00:00 10/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 10/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RRT v1: Not Indicated st: NotStopd t0: [04:00:00 10/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [04:00:00 10/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Universal st: NotStopd t0: [04:00:00 10/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 56.8 u1: kg st: NotStopd t0: [04:00:00 10/12/2008] id: Procedures el: 0 cu: MICU-A cg: RRT v1: EKG st: NotStopd t0: [04:00:00 10/12/2008] id: Radiologic Study el: 0 cu: MICU-A cg: RRT v1: Chest Xray st: NotStopd t0: [04:00:00 10/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 9 u1: BPM st: NotStopd t0: [04:00:00 10/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [04:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:00:00 10/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 10/12/2008] id: Significant Events el: 0 cu: MICU-A cg: RRT v1: Resp Distress st: NotStopd t0: [04:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 10/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 10/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 10/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 140 u1: ml/B st: NotStopd t0: [04:00:00 10/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 10/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [04:00:00 10/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd
t0: [04:00:00 10/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RRT ai: 107 vo: 20 vu: ml t0: [04:00:00 10/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: RRT vu: ml es: Large t0: [04:00:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RRT vo: 120 vu: ml
t0: [04:00:00 10/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 1 u1: torr st: NotStopd t0: [04:00:00 10/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.5 u1: % rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 577 rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.65 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 14.1 rs: Final st: NotStopd t0: [04:19:00 10/12/2008] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 13.4717 u1: ml/dl st: NotStopd
t0: [04:40:00 10/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd
t0: [02:00:00 10/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 10/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 10/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 10/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 10/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 10/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [02:00:00 10/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 10/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 10/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 10/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 10/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 10/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 10/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 10/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 10/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 10/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 10/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 10/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 10/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 10/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 10/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [04:00:00 10/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 10/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 10/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 10/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 10/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 10/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 10/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 10/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 10/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 10/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 10/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 10/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 10/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 10/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 10/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 10/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 10/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 10/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 10/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 10/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [04:00:00 10/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 10/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 10/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 10/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 10/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 10/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 10/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 10/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 10/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [04:00:00 10/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 10/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 10/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 10/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 10/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 10/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 10/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 10/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [04:00:00 10/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [04:00:00 10/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [04:00:00 10/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 10/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 10/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 10/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 10/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 10/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 10/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 10/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 10/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 10/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 10/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 10/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 10/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [04:30:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [04:30:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:30:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:30:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:30:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 111 u1: BPM st: NotStopd t0: [04:30:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:30:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [04:30:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 95.3333 u1: mmHg st: NotStopd t0: [04:30:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:30:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [04:30:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:30:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:30:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [05:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [05:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [05:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [05:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 55.6667 u1: mmHg st: NotStopd t0: [05:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [05:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 10/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 107 rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [04:00:00 10/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:00:00 10/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [04:00:00 10/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Scant st: NotStopd
t0: [05:00:00 10/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 21.2766 u1: ml/cmH st: NotStopd t0: [05:00:00 10/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [05:00:00 10/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [05:00:00 10/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 10/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:00:00 10/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:00:00 10/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [05:00:00 10/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [05:00:00 10/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [05:00:00 10/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 10/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [05:00:00 10/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.5 u1: L/min st: NotStopd t0: [05:00:00 10/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 10/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [05:00:00 10/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28.5 u1: cmH2O st: NotStopd t0: [05:00:00 10/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [05:00:00 10/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:00:00 10/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [05:00:00 10/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 9 u1: BPM st: NotStopd t0: [05:00:00 10/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [05:00:00 10/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 10/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [05:00:00 10/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:00:00 10/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 140 u1: ml/B st: NotStopd
t0: [05:00:00 10/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: Sputum Cx st: NotStopd t0: [05:15:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [05:15:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:15:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:15:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PNC's st: NotStopd t0: [05:15:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [05:15:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:15:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [05:15:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [05:15:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:15:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [05:15:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:15:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:15:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 10/12/2008] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.3 rs: Final st: NotStopd t0: [04:00:00 10/12/2008] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 30.7 rs: Final st: NotStopd
t0: [04:33:00 10/12/2008] id: D-Dimer (0-500) Coags el: 0 cu: MICU-A cg: 1663 v1: <500 rs: Final st: NotStopd
t0: [06:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [06:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [06:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [06:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [06:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [06:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 10/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [06:00:00 10/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 129 rs: Manual st: NotStopd
t0: [06:00:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [06:30:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [06:30:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:30:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:30:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:30:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 111 u1: BPM st: NotStopd t0: [06:30:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:30:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [06:30:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92.3333 u1: mmHg st: NotStopd t0: [06:30:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:30:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [06:30:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:30:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:30:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 10/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 27.6243 u1: ml/cmH st: NotStopd t0: [08:00:00 10/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 10/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 10/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [08:00:00 10/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 10/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 10/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [08:00:00 10/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:4.5 st: NotStopd t0: [08:00:00 10/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [08:00:00 10/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 10/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.5 u1: Deg. C st: NotStopd t0: [08:00:00 10/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [08:00:00 10/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [08:00:00 10/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 10/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 10/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9.7 u1: cmH2O st: NotStopd t0: [08:00:00 10/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 4.57 u1: L/min st: NotStopd t0: [08:00:00 10/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 10/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [08:00:00 10/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 23.1 u1: cmH2O st: NotStopd t0: [08:00:00 10/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 19.8 u1: cmH2O st: NotStopd t0: [08:00:00 10/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 10/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd t0: [08:00:00 10/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 10/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [08:00:00 10/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [08:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 10/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 10/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 460 u1: ml/B st: NotStopd t0: [08:00:00 10/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 10/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [08:00:00 10/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [08:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 122 u1: BPM st: NotStopd t0: [08:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 75.6667 u1: mmHg st: NotStopd t0: [08:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 56.8 u1: kg st: NotStopd t0: [08:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:00:00 10/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 10/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [08:00:00 10/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.4 u1: Deg. F st: NotStopd t0: [08:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 10/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 445 vu: ml
t0: [08:05:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:05:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:05:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:05:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:05:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [08:05:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:05:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [08:05:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 47.3333 u1: mmHg st: NotStopd t0: [08:05:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:05:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [08:05:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [08:05:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:05:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:10:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:10:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:10:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:10:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:10:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [08:10:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:10:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [08:10:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 51 u1: mmHg st: NotStopd t0: [08:10:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:10:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [08:10:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [08:10:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:10:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:32:00 10/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [08:32:00 10/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [08:32:00 10/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [08:32:00 10/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 180 u1: mmHg rs: Final st: NotStopd t0: [08:32:00 10/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [08:10:00 10/12/2008] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [08:30:00 10/12/2008] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Incr Visibility st: NotStopd t0: [08:30:00 10/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:30:00 10/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:30:00 10/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:30:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [08:30:00 10/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:30:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:30:00 10/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:30:00 10/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:30:00 10/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:30:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:30:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:30:00 10/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [08:30:00 10/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:30:00 10/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [08:30:00 10/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:30:00 10/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:30:00 10/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:30:00 10/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Clear st: NotStopd t0: [08:30:00 10/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:30:00 10/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [08:30:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [08:30:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:30:00 10/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [08:30:00 10/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:30:00 10/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:30:00 10/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:30:00 10/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:30:00 10/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:30:00 10/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:30:00 10/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:30:00 10/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:30:00 10/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:30:00 10/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:30:00 10/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:30:00 10/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:30:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:30:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [08:30:00 10/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:30:00 10/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:30:00 10/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:30:00 10/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:30:00 10/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:30:00 10/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:30:00 10/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [08:30:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:30:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [08:30:00 10/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: Culture/remarks st: NotStopd t0: [08:30:00 10/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:30:00 10/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [08:30:00 10/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:30:00 10/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:30:00 10/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:30:00 10/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:30:00 10/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:30:00 10/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:30:00 10/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:30:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [08:30:00 10/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [08:30:00 10/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [08:30:00 10/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:30:00 10/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:30:00 10/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:30:00 10/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:30:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:30:00 10/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:30:00 10/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:30:00 10/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [08:30:00 10/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:30:00 10/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:30:00 10/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [08:30:00 10/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:30:00 10/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:30:00 10/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:30:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:30:00 10/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:30:00 10/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [08:10:00 10/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [08:10:00 10/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1.66667 vu: ml t0: [08:30:00 10/12/2008] tf: [16:00:00 13/12/2008] dt: 4770 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml
t0: [09:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [09:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [09:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [09:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [09:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 10/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [09:00:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
id: Diltiazem el: 100 cu: MICU-A cg: RN io: D5W 125.0ml + 125mghr Diltiazem IV Infusions am: 125 du: mghr rt: IV Drip id: Neosynephrine el: 200 cu: MICU-A cg: RN io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions am: 60 du: mcgmin rt: IV Drip
io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ra: 10 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 125.0ml + 125mghr Diltiazem IV Infusions vo: 125 du: ml rt: Intravenous Push id: D5W el: 2 cu: MICU-A cg: RN io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [10:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [10:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [10:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [10:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [10:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 10/12/2008] tf: [10:30:00 10/12/2008] dt: 30 id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:30:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:30:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:30:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:30:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:30:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [10:30:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:30:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [10:30:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 84.6667 u1: mmHg st: NotStopd t0: [10:30:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:30:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [10:30:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [10:30:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:30:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:40:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:40:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:40:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:40:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:40:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [10:40:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:40:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [10:40:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 99.3333 u1: mmHg st: NotStopd t0: [10:40:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:40:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [10:40:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [10:40:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:40:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 10/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 10/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [10:30:00 10/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [10:30:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml t0: [10:40:00 10/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1.66667 vu: ml t0: [10:40:00 10/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [10:30:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [10:40:00 10/12/2008] tf: [02:00:00 14/12/2008] dt: 5240 id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip
t0: [10:50:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [10:50:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:50:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:50:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:50:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [10:50:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:50:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [10:50:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [10:50:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:50:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [10:50:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [10:50:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:50:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 10/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml st: Stopped t0: [10:50:00 10/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 0 vu: ml nb: 1
t0: [10:50:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip
t0: [10:42:00 10/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.7 u1: % rs: Final st: NotStopd
t0: [11:00:00 10/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [11:00:00 10/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [11:00:00 10/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 5 u1: lpm st: NotStopd t0: [11:00:00 10/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 10/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:00:00 10/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [11:00:00 10/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [11:00:00 10/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 10/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [11:00:00 10/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [11:00:00 10/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [11:00:00 10/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:00:00 10/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 4.8 u1: L/min st: NotStopd t0: [11:00:00 10/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 10/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [11:00:00 10/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [11:00:00 10/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [11:00:00 10/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [11:00:00 10/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [11:00:00 10/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [11:00:00 10/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [11:00:00 10/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [11:10:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [11:10:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:10:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [11:10:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:10:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [11:10:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:10:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:10:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [11:10:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:10:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [11:10:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:10:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:10:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 10/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [11:00:00 10/12/2008] tf: [14:13:00 17/12/2008] dt: 10273 id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3.33333 vu: ml st: Stopped t0: [11:00:00 10/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1.66667 vu: ml t0: [11:00:00 10/12/2008] tf: [13:00:00 10/12/2008] dt: 120 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 9.16667 vu: ml t0: [11:10:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 22 vu: ml
t0: [11:10:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 10/12/2008] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Incr Visibility st: NotStopd t0: [12:00:00 10/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 10/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 10/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 10/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 10/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 10/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [12:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:00:00 10/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 10/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 10/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 10/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 10/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [12:00:00 10/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 10/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [12:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 10/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 10/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 10/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 10/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 10/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 10/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 10/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 10/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 10/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 10/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 10/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 10/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 10/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 10/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [12:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [12:00:00 10/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 10/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 10/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 10/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 10/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [12:00:00 10/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 10/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 10/12/2008] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [12:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [12:00:00 10/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 10/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [12:00:00 10/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 10/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 10/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 10/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 10/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 10/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 10/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 10/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [12:00:00 10/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 10/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 10/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 10/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 10/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 10/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 10/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 10/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 10/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [12:00:00 10/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 10/12/2008] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [12:00:00 10/12/2008] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 10/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 10/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 10/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [12:00:00 10/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [12:00:00 10/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [12:00:00 10/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 10/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 10/12/2008] id: BSA - English el: 0 cu: MICU-A cg: RN v1: 1.0334 u1: m2 st: NotStopd t0: [12:00:00 10/12/2008] id: BSA - Metric el: 0 cu: MICU-A cg: RN v1: 1.2113 u1: m2 st: NotStopd t0: [12:00:00 10/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 10/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 10/12/2008] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [12:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 10/12/2008] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [12:00:00 10/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [12:00:00 10/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 138 rs: Manual st: NotStopd t0: [12:00:00 10/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 10/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 10/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [12:00:00 10/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 10/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 10/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 10/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 10/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [12:00:00 10/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 9.16667 vu: ml t0: [12:00:00 10/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [12:00:00 10/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [12:00:00 10/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [12:00:00 10/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [12:00:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [12:00:00 10/12/2008] tf: [08:00:00 11/12/2008] dt: 1200 id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 10/12/2008] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [11:30:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [11:30:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:30:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [11:30:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:30:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [11:30:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:30:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [11:30:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79.6667 u1: mmHg st: NotStopd t0: [11:30:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:30:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 56.8 u1: kg st: NotStopd t0: [11:30:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:30:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:30:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:10:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:10:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:10:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:10:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [12:10:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:10:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [12:10:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [12:10:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:10:00 10/12/2008] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [12:10:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:10:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd
t0: [11:30:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:10:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:10:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:12:00 10/12/2008] id: Venous PvCO2 VBG's el: 0 cu: MICU-A cg: 1663 u1: mmHg rs: Final st: NotStopd t0: [12:12:00 10/12/2008] id: Venous PvO2 Mixed Venous Gases el: 0 cu: MICU-A cg: 1663 u1: mmHg rs: Final st: NotStopd t0: [12:12:00 10/12/2008] id: Venous pH VBG's el: 0 cu: MICU-A cg: 1663 v1: 7.43 u1: pH rs: Final st: NotStopd
t0: [12:12:00 10/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd
t0: [12:00:00 10/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd
t0: [12:30:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:30:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:30:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:30:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:30:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [12:30:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:30:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [12:30:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 53.3333 u1: mmHg st: NotStopd t0: [12:30:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:30:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [12:30:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:30:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [12:30:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:30:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:40:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:40:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:40:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:40:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:40:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [12:40:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:40:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [12:40:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 51.6667 u1: mmHg st: NotStopd t0: [12:40:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:40:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [12:40:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:40:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:40:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:40:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:40:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:45:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [12:45:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:45:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:45:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:45:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [12:45:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:45:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:45:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [12:45:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:45:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [12:45:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:45:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:45:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:45:00 10/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10.8333 vu: ml t0: [12:45:00 10/12/2008] tf: [08:00:00 11/12/2008] dt: 1155 id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [12:45:00 10/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 41.25 vu: ml t0: [12:45:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 20 vu: ml
t0: [12:45:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:45:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:14:00 10/12/2008] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd
t0: [12:45:00 10/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml
t0: [12:45:00 10/12/2008] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [13:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [13:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [13:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [13:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [13:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 10/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2.5 vu: ml t0: [13:00:00 10/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 2.5 vu: ml t0: [13:00:00 10/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 13.75 vu: ml st: Stopped
t0: [13:00:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 10/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [13:00:00 10/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [13:00:00 10/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [13:00:00 10/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [13:00:00 10/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [13:00:00 10/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [13:00:00 10/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [13:00:00 10/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [13:00:00 10/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.5 u1: Deg. C st: NotStopd t0: [13:00:00 10/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [13:00:00 10/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [13:00:00 10/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 10/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [13:00:00 10/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9 u1: cmH2O st: NotStopd t0: [13:00:00 10/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 6.05 u1: L/min st: NotStopd t0: [13:00:00 10/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 10/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [13:00:00 10/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 10 u1: . st: NotStopd t0: [13:00:00 10/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [13:00:00 10/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 290 u1: ml/B st: NotStopd t0: [13:00:00 10/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 260 u1: ml/B st: NotStopd t0: [13:00:00 10/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [13:00:00 10/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [13:00:00 10/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [13:30:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [13:30:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:30:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:30:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:30:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [13:30:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:30:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [13:30:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [13:30:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:30:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [13:30:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:30:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:30:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 10/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [13:30:00 10/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [13:30:00 10/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [13:30:00 10/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 0 vu: ml nb: 1
t0: [13:30:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 100 su: ml rt: IV Drip t0: [13:30:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [14:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [14:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [14:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 10/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 10/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [14:00:00 10/12/2008] tf: [00:00:00 11/12/2008] dt: 600 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 27.5 vu: ml t0: [14:00:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [14:00:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [15:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [15:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [15:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [15:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 10/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 10/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 10/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [15:00:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [15:00:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 10/12/2008] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Incr Visibility st: NotStopd t0: [16:00:00 10/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 10/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 10/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [16:00:00 10/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 10/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 10/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 10/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 10/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 10/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 10/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 10/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 10/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 10/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 10/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [16:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 10/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 10/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 10/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 10/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 10/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 10/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 10/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 10/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 10/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 10/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 10/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 10/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 10/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 10/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [16:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 53.3333 u1: mmHg st: NotStopd t0: [16:00:00 10/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 10/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 10/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 10/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 10/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 10/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 10/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 10/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [16:00:00 10/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [16:00:00 10/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [16:00:00 10/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 10/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 10/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 10/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 10/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 10/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 10/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 10/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [16:00:00 10/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [16:00:00 10/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 10/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 10/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 10/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 10/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 10/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 10/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 10/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 10/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 10/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 10/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [16:00:00 10/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [16:00:00 10/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 10/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 10/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 10/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 10/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:00:00 10/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 10/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 10/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 10/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 10/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [16:00:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [16:00:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 10/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 10/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [16:00:00 10/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [16:00:00 10/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 10/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 10/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [16:00:00 10/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [16:00:00 10/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 10/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.4 u1: Deg. C st: NotStopd t0: [16:00:00 10/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [16:00:00 10/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [16:00:00 10/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 10/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [16:00:00 10/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9.1 u1: cmH2O st: NotStopd t0: [16:00:00 10/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 5.67 u1: L/min st: NotStopd t0: [16:00:00 10/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 10/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 10/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 10 u1: . st: NotStopd t0: [16:00:00 10/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [16:00:00 10/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 320 u1: ml/B st: NotStopd t0: [16:00:00 10/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 300 u1: ml/B st: NotStopd t0: [16:00:00 10/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [16:00:00 10/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [16:00:00 10/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [17:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [17:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [17:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [17:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 10/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 10/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 10/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [17:00:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [17:00:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [18:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [18:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [18:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [18:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 10/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 145 rs: Manual st: NotStopd
t0: [18:00:00 10/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 10/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 10/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [18:00:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [18:00:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [19:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [19:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [19:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [19:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [19:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79.3333 u1: mmHg st: NotStopd t0: [19:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [19:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 10/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 10/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 10/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [20:00:00 10/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 10/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 10/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 10/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 10/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 10/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 10/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 10/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 10/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [20:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 10/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 10/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 10/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 10/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 10/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 10/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 10/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 10/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 10/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 10/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 10/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [20:00:00 10/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 10/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 10/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 10/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 10/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [20:00:00 10/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [20:00:00 10/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 2 mm st: NotStopd t0: [20:00:00 10/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 10/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 10/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 10/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 10/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 10/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 10/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 10/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [20:00:00 10/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 10/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 10/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 10/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 10/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 10/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 10/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 10/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 10/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 10/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 10/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [20:00:00 10/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [20:00:00 10/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 10/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 10/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 10/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 18 vu: ml t0: [20:00:00 10/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 10/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml
t0: [20:00:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [19:56:00 10/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [19:56:00 10/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [19:56:00 10/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [19:56:00 10/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [19:56:00 10/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [19:56:00 10/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [19:56:00 10/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [19:56:00 10/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [19:56:00 10/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.7 u1: Deg. C st: NotStopd t0: [19:56:00 10/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [19:56:00 10/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [19:56:00 10/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [19:56:00 10/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [19:56:00 10/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 8.7 u1: cmH2O st: NotStopd t0: [19:56:00 10/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 6.7 u1: L/min st: NotStopd t0: [19:56:00 10/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [19:56:00 10/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [19:56:00 10/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 10 u1: . st: NotStopd t0: [19:56:00 10/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [19:56:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [19:56:00 10/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 320 u1: ml/B st: NotStopd t0: [19:56:00 10/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [19:56:00 10/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [19:56:00 10/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [19:30:00 10/12/2008] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 38 rs: Final st: NotStopd
t0: [20:00:00 10/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 10/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 10/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 10/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 10/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [20:00:00 10/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd
t0: [20:00:00 10/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 10/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [20:00:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [20:30:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [20:30:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:30:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:30:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:30:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [20:30:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:30:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [20:30:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [20:30:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:30:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [20:30:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:30:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:30:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:30:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:30:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:45:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [20:45:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:45:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:45:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:45:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [20:45:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:45:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [20:45:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [20:45:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:45:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [20:45:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [20:45:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:45:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:45:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:45:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 35 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [21:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [21:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [21:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [21:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [21:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6.5 vu: ml t0: [21:00:00 10/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 6.25 vu: ml t0: [21:00:00 10/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [21:00:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [21:00:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 35 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:15:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [21:15:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:15:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:15:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:15:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:15:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:15:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:15:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [21:15:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:15:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [21:15:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:15:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:15:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:15:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [21:15:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 35 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:27:00 10/12/2008] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 13.9673 u1: ml/dl st: NotStopd t0: [21:27:00 10/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [21:27:00 10/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [21:27:00 10/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [21:27:00 10/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 100 u1: mmHg rs: Final st: NotStopd t0: [21:27:00 10/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.51 rs: Final st: NotStopd t0: [21:27:00 10/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.14 rs: Final st: NotStopd t0: [21:27:00 10/12/2008] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [22:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [22:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [22:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 10/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [22:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 10/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 10/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [22:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 91.6667 u1: mmHg st: NotStopd t0: [22:00:00 10/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [22:00:00 10/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [22:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 10/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [22:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 10/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 10/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 8.75 vu: ml t0: [22:00:00 10/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [22:00:00 10/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [22:00:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 35 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 10/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [23:00:00 10/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 10/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:00:00 10/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 10/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [23:00:00 10/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 10/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 10/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.6667 u1: mmHg st: NotStopd t0: [23:00:00 10/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 10/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [23:00:00 10/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 10/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 10/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [00:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [00:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 11/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:00:00 11/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [00:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [00:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 10/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 10/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 35 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 11/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 31 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 11/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 vu: ml nb: 1 t0: [00:00:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [00:00:00 11/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 17.5 vu: ml t0: [00:00:00 11/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 110 vu: ml st: Stopped t0: [00:00:00 11/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [23:00:00 11/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 11/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 2039.19 ap: none t0: [23:00:00 11/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 cv: 110 ap: none t0: [23:00:00 11/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1450 ap: none t0: [23:00:00 11/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1450 ap: none
t0: [00:00:00 11/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 134 rs: Manual st: NotStopd
t0: [22:00:00 10/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 10/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 10/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 10/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 10/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 10/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [22:00:00 10/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 10/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 10/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 11/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 11/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 11/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 11/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 11/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 11/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 11/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 11/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 11/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 11/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 11/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 11/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Undigested Food st: NotStopd t0: [00:00:00 11/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 11/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 11/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 11/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 11/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 11/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 11/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 11/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 11/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 11/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 11/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 11/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 11/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 11/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 11/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 11/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 11/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 11/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 11/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [00:00:00 11/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [00:00:00 11/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [00:00:00 11/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 11/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 11/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 11/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 11/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 11/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 11/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 11/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 11/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 11/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 11/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 11/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 11/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [00:00:00 11/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 11/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 11/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 11/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 11/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 11/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 11/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 11/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml
t0: [23:00:00 11/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 11/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2269.19 ap: none t0: [23:00:00 11/12/2008] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 120 ap: none t0: [23:00:00 11/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 819.188 ap: none t0: [23:00:00 11/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 10272.7 ap: carryForward
t0: [00:00:00 11/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 11/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [00:00:00 11/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [00:00:00 11/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 11/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 11/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [00:00:00 11/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [00:00:00 11/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 11/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.3 u1: Deg. C st: NotStopd t0: [00:00:00 11/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [00:00:00 11/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [00:00:00 11/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 11/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 11/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9 u1: cmH2O st: NotStopd t0: [00:00:00 11/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 6.7 u1: L/min st: NotStopd t0: [00:00:00 11/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 11/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:00:00 11/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 10 u1: . st: NotStopd t0: [00:00:00 11/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 11/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 330 u1: ml/B st: NotStopd t0: [00:00:00 11/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [00:00:00 11/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [00:00:00 11/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [01:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [01:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [01:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [01:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 11/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [01:00:00 11/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [01:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [01:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 11/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 11/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 11/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 11/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 11/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 11/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [02:00:00 11/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 11/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 11/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd
t0: [01:00:00 11/12/2008] tf: [10:00:00 12/12/2008] dt: 1980 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [01:00:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [01:00:00 11/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 7.75 vu: ml t0: [02:00:00 11/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [02:00:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [02:00:00 11/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 7.75 vu: ml
t0: [01:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 11/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 31 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [02:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [02:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [02:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 11/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 11/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 78.6667 u1: mmHg st: NotStopd t0: [02:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [02:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 11/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 28 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 11/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [03:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [03:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [03:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 11/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [03:00:00 11/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 91.6667 u1: mmHg st: NotStopd t0: [03:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [03:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 11/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [03:00:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [03:00:00 11/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [03:00:00 11/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [03:00:00 11/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip
t0: [03:25:00 11/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [03:25:00 11/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [03:25:00 11/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd
t0: [03:00:00 11/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd t0: [03:00:00 11/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [03:00:00 11/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [03:00:00 11/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: SIMV+PS st: NotStopd
t0: [03:55:00 11/12/2008] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 13.9549 u1: ml/dl st: NotStopd t0: [03:55:00 11/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [03:55:00 11/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [03:55:00 11/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [03:55:00 11/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 96 u1: mmHg rs: Final st: NotStopd t0: [03:55:00 11/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.56 rs: Final st: NotStopd t0: [03:55:00 11/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.12 rs: Final st: NotStopd t0: [03:55:00 11/12/2008] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [04:15:00 11/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 17.3611 u1: ml/cmH st: NotStopd t0: [04:15:00 11/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [04:15:00 11/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [04:15:00 11/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [04:15:00 11/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [04:15:00 11/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [04:15:00 11/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [04:15:00 11/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:5.8 st: NotStopd t0: [04:15:00 11/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.5 mm st: NotStopd t0: [04:15:00 11/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [04:15:00 11/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.3 u1: Deg. C st: NotStopd t0: [04:15:00 11/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 18 st: NotStopd t0: [04:15:00 11/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 3 st: NotStopd t0: [04:15:00 11/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:15:00 11/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [04:15:00 11/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [04:15:00 11/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 3.7 u1: L/min st: NotStopd t0: [04:15:00 11/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:15:00 11/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [04:15:00 11/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 33.8 u1: cmH2O st: NotStopd t0: [04:15:00 11/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 25.2 u1: cmH2O st: NotStopd t0: [04:15:00 11/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:15:00 11/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd t0: [04:15:00 11/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [04:15:00 11/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 8 u1: BPM st: NotStopd t0: [04:15:00 11/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 8 u1: BPM st: NotStopd t0: [04:15:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [04:15:00 11/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: None st: NotStopd t0: [04:15:00 11/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [04:15:00 11/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: SIMV+PS st: NotStopd t0: [04:15:00 11/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 16 u1: # st: NotStopd t0: [04:15:00 11/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [03:56:00 11/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.8 u1: % rs: Final st: NotStopd t0: [03:56:00 11/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [03:56:00 11/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 588 rs: Final st: NotStopd t0: [03:56:00 11/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.15 u1: /mic l rs: Final st: NotStopd t0: [03:56:00 11/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.6 rs: Final st: NotStopd
t0: [00:00:00 11/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 11/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 11/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [04:00:00 11/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 11/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 11/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 11/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 11/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 11/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 11/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [04:00:00 11/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 11/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [04:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 11/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 11/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 11/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 11/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 11/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 11/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 11/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 11/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 11/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 11/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 11/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 11/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 11/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 11/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [04:00:00 11/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [04:00:00 11/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 11/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 11/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 11/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 11/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 11/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [04:00:00 11/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [04:00:00 11/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 11/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 11/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 11/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 11/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 11/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 11/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [04:00:00 11/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 11/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [04:00:00 11/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 11/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 11/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 11/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 11/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 11/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 11/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [04:00:00 11/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [04:00:00 11/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 11/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 11/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 11/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 11/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 11/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [04:00:00 11/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 11/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [04:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 11/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:30:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 1 u1: mmHg st: NotStopd t0: [04:30:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:30:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [04:30:00 11/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:30:00 11/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 93.3333 u1: mmHg st: NotStopd t0: [04:30:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:30:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [04:30:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:30:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:30:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:30:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:30:00 11/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:30:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [04:30:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:30:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:45:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [04:45:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:45:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [04:45:00 11/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:45:00 11/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [04:45:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:45:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [04:45:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:45:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:45:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:45:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:45:00 11/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [03:56:00 11/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [03:56:00 11/12/2008] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 41 rs: Final st: NotStopd t0: [03:56:00 11/12/2008] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:56:00 11/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [03:56:00 11/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [03:56:00 11/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [03:56:00 11/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [03:56:00 11/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:56:00 11/12/2008] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [03:56:00 11/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [03:56:00 11/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [04:49:00 11/12/2008] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 12.2477 u1: ml/dl st: NotStopd t0: [04:49:00 11/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [04:49:00 11/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [04:49:00 11/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [04:49:00 11/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 96 u1: mmHg rs: Final st: NotStopd t0: [04:49:00 11/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd
t0: [05:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [05:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 11/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [05:00:00 11/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [05:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [05:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 11/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [06:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [06:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 11/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [06:00:00 11/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [06:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [06:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 11/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [06:00:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [06:00:00 11/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5.3125 vu: ml
t0: [06:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 11/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [06:00:00 11/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 11/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [06:00:00 11/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [06:30:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [06:30:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:30:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [06:30:00 11/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [06:30:00 11/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 90.3333 u1: mmHg st: NotStopd t0: [06:30:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:30:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [06:30:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:30:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [06:30:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:30:00 11/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 11/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [08:00:00 11/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 11/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [08:00:00 11/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 5 u1: lpm st: NotStopd t0: [08:00:00 11/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 11/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 11/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 11/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 2.6 st: NotStopd t0: [08:00:00 11/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 11/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 11/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [08:00:00 11/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [08:00:00 11/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [08:00:00 11/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 11/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:00:00 11/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5 u1: L/min st: NotStopd t0: [08:00:00 11/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 11/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [08:00:00 11/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:00:00 11/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:00:00 11/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 11/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 11/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [08:00:00 11/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 11/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [08:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [08:00:00 11/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 11/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 11/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 160 u1: ml/B st: NotStopd t0: [08:00:00 11/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [08:00:00 11/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [08:00:00 11/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [08:00:00 11/12/2008] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Incr Visibility st: NotStopd t0: [08:00:00 11/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 11/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [08:00:00 11/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 11/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 11/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:00:00 11/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 11/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 11/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 11/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 11/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Clear st: NotStopd t0: [08:00:00 11/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [08:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 11/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 11/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 11/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 11/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 11/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 11/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 11/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 11/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 11/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [08:00:00 11/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [08:00:00 11/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 11/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 11/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 11/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57 u1: kg st: NotStopd t0: [08:00:00 11/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 11/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [08:00:00 11/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 11/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 11/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 11/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [08:00:00 11/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 11/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 11/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 11/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 11/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 11/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 11/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 11/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 11/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 11/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 11/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 11/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 11/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 11/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [08:00:00 11/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [08:00:00 11/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [08:00:00 11/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [08:00:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 16 vu: ml t0: [08:00:00 11/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 90 vu: ml t0: [08:00:00 11/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [08:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 11/12/2008] id: Neosynephrine el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [09:00:00 11/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [09:00:00 11/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5 u1: L/min st: NotStopd t0: [09:00:00 11/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [09:00:00 11/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [09:00:00 11/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [09:00:00 11/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [09:00:00 11/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [09:00:00 11/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd
t0: [10:00:00 11/12/2008] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Incr Visibility st: NotStopd t0: [10:00:00 11/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:00:00 11/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 11/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [10:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [10:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 11/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 11/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 11/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:00:00 11/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [10:00:00 11/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [10:00:00 11/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 11/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [10:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 11/12/2008] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [10:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [10:00:00 11/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 11/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 11/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [10:00:00 11/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 11/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 11/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 11/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [10:00:00 11/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [10:00:00 11/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 11/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 11/12/2008] id: BSA - English el: 0 cu: MICU-A cg: RN v1: 1.04153 u1: m2 st: NotStopd t0: [10:00:00 11/12/2008] id: BSA - Metric el: 0 cu: MICU-A cg: RN v1: 1.2206 u1: m2 st: NotStopd t0: [10:00:00 11/12/2008] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [10:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 11/12/2008] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd
t0: [08:00:00 11/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 2.875 vu: ml st: Stopped t0: [10:00:00 11/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [10:00:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 11/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [10:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 11/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 11/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [10:00:00 11/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.5 u1: L/min st: NotStopd t0: [10:00:00 11/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [10:00:00 11/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 27 u1: BPM st: NotStopd t0: [10:00:00 11/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 27 u1: BPM st: NotStopd t0: [10:00:00 11/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [10:00:00 11/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 240 u1: ml/B st: NotStopd
t0: [11:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [11:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [11:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [11:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 11/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [11:00:00 11/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92.3333 u1: mmHg st: NotStopd t0: [11:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [11:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 11/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [11:00:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 11/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [11:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 11/12/2008] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Incr Visibility st: NotStopd t0: [12:00:00 11/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 11/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 11/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:00:00 11/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 11/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [12:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:00:00 11/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 11/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 11/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 11/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 11/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [12:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 11/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 11/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 11/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 11/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 11/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 11/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 11/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 11/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 11/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 11/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [12:00:00 11/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 100.667 u1: mmHg st: NotStopd t0: [12:00:00 11/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 11/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 11/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 11/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [12:00:00 11/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 11/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [12:00:00 11/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 11/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 11/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 11/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [12:00:00 11/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 11/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 11/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 11/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 11/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 11/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 11/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 11/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 11/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 11/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [12:00:00 11/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [12:00:00 11/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 11/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 11/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [12:00:00 11/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 11/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [12:00:00 11/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [12:00:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [12:00:00 11/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [12:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 11/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 113 rs: Manual st: NotStopd
t0: [14:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [14:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [14:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 11/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [14:00:00 11/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [14:00:00 11/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 11/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [14:00:00 11/12/2008] id: NBP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [14:00:00 11/12/2008] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 94.3333 u1: mmHg st: NotStopd t0: [14:00:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [14:00:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [14:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [14:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [14:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 11/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [14:00:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 24 vu: ml t0: [14:00:00 11/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [14:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [14:08:00 11/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [14:08:00 11/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [14:08:00 11/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [14:08:00 11/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [14:08:00 11/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [14:45:00 11/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [14:45:00 11/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [14:45:00 11/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [14:45:00 11/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [14:45:00 11/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [14:45:00 11/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [14:45:00 11/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [14:45:00 11/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [14:45:00 11/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [14:45:00 11/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 18 st: NotStopd t0: [14:45:00 11/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [14:45:00 11/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [14:45:00 11/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.6 u1: cmH2O st: NotStopd t0: [14:45:00 11/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.7 u1: L/min st: NotStopd t0: [14:45:00 11/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [14:45:00 11/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [14:45:00 11/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [14:45:00 11/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [14:45:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [14:45:00 11/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 250 u1: ml/B st: NotStopd t0: [14:45:00 11/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [14:45:00 11/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [14:45:00 11/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [15:30:00 11/12/2008] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Incr Visibility st: NotStopd t0: [15:30:00 11/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 11/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [15:30:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [15:30:00 11/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [15:30:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:30:00 11/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 11/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [15:30:00 11/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [15:30:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:30:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:30:00 11/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [15:30:00 11/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [15:30:00 11/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [15:30:00 11/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [15:30:00 11/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [15:30:00 11/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [15:30:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [15:30:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:30:00 11/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [15:30:00 11/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:30:00 11/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [15:30:00 11/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [15:30:00 11/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:30:00 11/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [15:30:00 11/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [15:30:00 11/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [15:30:00 11/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:30:00 11/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [15:30:00 11/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [15:30:00 11/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:30:00 11/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [15:30:00 11/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [15:30:00 11/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [15:30:00 11/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [15:30:00 11/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [15:30:00 11/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [15:30:00 11/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [15:30:00 11/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [15:30:00 11/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 11/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:30:00 11/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [15:30:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:30:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [15:30:00 11/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [15:30:00 11/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 11/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [15:30:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:30:00 11/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [15:30:00 11/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [15:30:00 11/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [15:30:00 11/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [15:30:00 11/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [15:30:00 11/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [15:30:00 11/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:30:00 11/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 11/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [15:30:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:30:00 11/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [15:30:00 11/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [15:30:00 11/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [15:30:00 11/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [15:30:00 11/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [15:30:00 11/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [15:30:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [15:30:00 11/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [15:30:00 11/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [15:30:00 11/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [15:30:00 11/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [15:30:00 11/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [15:30:00 11/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [15:30:00 11/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:30:00 11/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [15:30:00 11/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:30:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 11/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [15:30:00 11/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [15:30:00 11/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 90 vu: ml t0: [15:30:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 18 vu: ml t0: [15:30:00 11/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [15:30:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [16:20:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [16:20:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:20:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:20:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:20:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [16:20:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:20:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:20:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [16:20:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:20:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [16:20:00 11/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:20:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:20:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:20:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:25:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [16:25:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:25:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:25:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:25:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [16:25:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:25:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:25:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [16:25:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:25:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [16:25:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:25:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:25:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:20:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:25:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [16:30:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [16:30:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:30:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:30:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [16:30:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:30:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [16:30:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [16:30:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:30:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [16:30:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:30:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:30:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [16:35:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:35:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:35:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:35:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [16:35:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:35:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:35:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [16:35:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:35:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [16:35:00 11/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: PEG Inserted st: NotStopd t0: [16:35:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:35:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:35:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:35:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [16:40:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [16:40:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:40:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:40:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:40:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [16:40:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:40:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:40:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [16:40:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:40:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [16:40:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:40:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:40:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:40:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [16:45:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 17 u1: mmHg st: NotStopd t0: [16:45:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:45:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:45:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:45:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [16:45:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:45:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:45:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [16:45:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:45:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [16:45:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:45:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:45:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:50:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [16:50:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:50:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:50:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:50:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [16:50:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:50:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:50:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [16:50:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:50:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [16:50:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:50:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:50:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:55:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 20 u1: mmHg st: NotStopd t0: [16:55:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:55:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:55:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:55:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [16:55:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:55:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:55:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [16:55:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:55:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [16:55:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:55:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:55:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 21 u1: mmHg st: NotStopd t0: [17:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [17:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [17:00:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [17:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [17:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [17:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 11/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 90 vu: ml t0: [17:00:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 18 vu: ml t0: [17:00:00 11/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [16:45:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:50:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:55:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 11/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.8095 u1: ml/cmH st: NotStopd t0: [17:00:00 11/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [17:00:00 11/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [17:00:00 11/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 11/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 11/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:00:00 11/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 11/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [17:00:00 11/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [17:00:00 11/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [17:00:00 11/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [17:00:00 11/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 11/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8.8 u1: cmH2O st: NotStopd t0: [17:00:00 11/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.3 u1: L/min st: NotStopd t0: [17:00:00 11/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 11/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [17:00:00 11/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [17:00:00 11/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [17:00:00 11/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [17:00:00 11/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [17:00:00 11/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 11/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 11/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 11/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 11/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 11/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [17:00:00 11/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [17:00:00 11/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [17:00:00 11/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 111 rs: Manual st: NotStopd
t0: [17:00:00 11/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [17:00:00 11/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [18:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 11/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [18:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [18:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 11/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 11/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [18:00:00 11/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [18:00:00 11/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [18:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [18:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [18:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 11/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [18:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [18:00:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [18:00:00 11/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [18:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 11/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml
t0: [20:00:00 11/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 11/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 11/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [20:00:00 11/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 11/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 11/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 11/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 11/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 11/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 11/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [20:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 11/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 11/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 11/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 11/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [20:00:00 11/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 11/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 11/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:00:00 11/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 11/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 11/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 11/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 11/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 11/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 11/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 11/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 11/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 11/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:00:00 11/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [20:00:00 11/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 11/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 11/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [20:00:00 11/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [20:00:00 11/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 2 mm st: NotStopd t0: [20:00:00 11/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 11/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 11/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 11/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 11/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [20:00:00 11/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [20:00:00 11/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 11/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 11/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 11/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 11/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 11/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 11/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 11/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 11/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 11/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 11/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [20:00:00 11/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [20:00:00 11/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 11/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 11/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 11/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 11/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 11/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 11/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 11/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 11/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 11/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 11/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 11/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 11/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [20:00:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 24 vu: ml t0: [20:00:00 11/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [20:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 11/12/2008] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [21:00:00 11/12/2008] id: ETT Position Change el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [21:00:00 11/12/2008] id: Extubation Date el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [21:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [21:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [21:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [21:00:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [21:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [21:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [21:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [21:25:00 11/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [21:25:00 11/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [21:25:00 11/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [21:25:00 11/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [21:25:00 11/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [21:25:00 11/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:25:00 11/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:25:00 11/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [21:25:00 11/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:4 st: NotStopd t0: [21:25:00 11/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [21:25:00 11/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [21:25:00 11/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [21:25:00 11/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [21:25:00 11/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [21:25:00 11/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:25:00 11/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [21:25:00 11/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11.6 u1: cmH2O st: NotStopd t0: [21:25:00 11/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 4.5 u1: L/min st: NotStopd t0: [21:25:00 11/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:25:00 11/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [21:25:00 11/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [21:25:00 11/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [21:25:00 11/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:25:00 11/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [21:25:00 11/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:25:00 11/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:25:00 11/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:25:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [21:25:00 11/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:25:00 11/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [21:25:00 11/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [21:25:00 11/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [21:25:00 11/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:25:00 11/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [21:25:00 11/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [21:25:00 11/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [21:25:00 11/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [21:25:00 11/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Portex st: NotStopd t0: [21:25:00 11/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [21:25:00 11/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [21:25:00 11/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [21:25:00 11/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [22:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [22:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [22:00:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [22:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [22:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 11/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [22:00:00 11/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 24 vu: ml t0: [22:00:00 11/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [22:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 11/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 11/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 11/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 11/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [22:00:00 11/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [22:00:00 11/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd
t0: [22:00:00 11/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear v2: Thin st: NotStopd t0: [22:00:00 11/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [23:00:00 11/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [23:00:00 11/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [23:00:00 11/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 11/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [23:00:00 11/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 11/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:00:00 11/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [23:00:00 11/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [23:00:00 11/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [23:00:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 11/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 11/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 12/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [00:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [00:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:00:00 12/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Neck st: NotStopd t0: [00:00:00 12/12/2008] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push v2: IV Push st: NotStopd t0: [00:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [00:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [00:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [00:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 123 rs: Manual st: NotStopd
t0: [00:00:00 12/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [00:00:00 12/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml
t0: [00:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 11/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [20:00:00 11/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Gravity v2: Other/Remarks st: NotStopd t0: [22:00:00 11/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 11/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 11/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 11/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 11/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 11/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [22:00:00 11/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 11/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 11/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 12/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 12/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 12/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 12/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 12/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 12/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 12/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 12/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [00:00:00 12/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Gravity v2: Other/Remarks st: NotStopd t0: [00:00:00 12/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 12/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 12/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 12/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [00:00:00 12/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 12/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 12/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 12/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 12/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 12/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 12/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 12/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 12/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 12/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 12/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 12/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 12/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 12/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 12/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 12/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [00:00:00 12/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [00:00:00 12/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 2 mm st: NotStopd t0: [00:00:00 12/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 12/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 12/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 12/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 12/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [00:00:00 12/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 12/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 12/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 12/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 12/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 12/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 12/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 12/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [00:00:00 12/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [00:00:00 12/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 12/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 12/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 12/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 12/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 12/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [00:00:00 12/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [23:00:00 12/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 12/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1110 ap: none t0: [23:00:00 12/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1110 ap: none
t0: [23:40:00 11/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [23:40:00 11/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [23:40:00 11/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [23:40:00 11/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [23:40:00 11/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [23:40:00 11/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [23:40:00 11/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [23:40:00 11/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [23:40:00 11/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [23:40:00 11/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [23:40:00 11/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [23:40:00 11/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [23:40:00 11/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8.1 u1: cmH2O st: NotStopd t0: [23:40:00 11/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.7 u1: L/min st: NotStopd t0: [23:40:00 11/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [23:40:00 11/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [23:40:00 11/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [23:40:00 11/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [23:40:00 11/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [23:40:00 11/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [23:40:00 11/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [23:40:00 11/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [23:40:00 11/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [23:40:00 11/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [23:40:00 11/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [23:40:00 11/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [23:40:00 11/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Portex st: NotStopd t0: [23:40:00 11/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [23:40:00 11/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [23:40:00 11/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [00:30:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [00:30:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:30:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [00:30:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:30:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [00:30:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:30:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:30:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [00:30:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:30:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [00:30:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:30:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:30:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:30:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [00:51:00 12/12/2008] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 12.0762 u1: ml/dl st: NotStopd t0: [00:51:00 12/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [00:51:00 12/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [00:51:00 12/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [00:51:00 12/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [00:51:00 12/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [00:51:00 12/12/2008] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 97 u1: % rs: Final st: NotStopd t0: [01:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [01:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [01:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg st: NotStopd t0: [01:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [01:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 12/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thin st: NotStopd t0: [01:00:00 12/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [01:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 12/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [01:00:00 12/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 13.5 vu: ml
t0: [01:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 12/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd
t0: [02:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [02:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [02:00:00 12/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 12/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 12/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [02:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [02:00:00 12/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 12/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [02:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [02:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 12/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [02:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 12/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [02:00:00 12/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [02:00:00 12/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [02:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [03:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [03:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [03:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 12/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [03:00:00 12/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml
t0: [03:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 12/12/2008] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 12/12/2008] id: I:E Ratio el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 12/12/2008] id: Peak Flow el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 12/12/2008] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 12/12/2008] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 12/12/2008] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 12/12/2008] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 12/12/2008] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 12/12/2008] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 12/12/2008] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [23:40:00 11/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [03:45:00 12/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [03:45:00 12/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [03:45:00 12/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [03:45:00 12/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 0 u1: lpm st: NotStopd t0: [03:45:00 12/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [03:45:00 12/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [03:45:00 12/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [03:45:00 12/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [03:45:00 12/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [03:45:00 12/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [03:45:00 12/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [03:45:00 12/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [03:45:00 12/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.4 u1: cmH2O st: NotStopd t0: [03:45:00 12/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [03:45:00 12/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [03:45:00 12/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [03:45:00 12/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [03:45:00 12/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [03:45:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [03:45:00 12/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [03:45:00 12/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thin st: NotStopd t0: [03:45:00 12/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [03:45:00 12/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [03:45:00 12/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [03:45:00 12/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [03:45:00 12/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [03:45:00 12/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Portex st: NotStopd t0: [03:45:00 12/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [03:45:00 12/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [03:45:00 12/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [03:39:00 12/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26 u1: % rs: Final st: NotStopd t0: [03:39:00 12/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.7 u1: gm/dl rs: Final st: NotStopd t0: [03:39:00 12/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 505 rs: Final st: NotStopd t0: [03:39:00 12/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.07 u1: /mic l rs: Final st: NotStopd t0: [03:39:00 12/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 18.4 rs: Final st: NotStopd
t0: [02:00:00 12/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 12/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 12/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 12/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 12/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 12/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [02:00:00 12/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 12/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 12/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 12/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 12/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [04:00:00 12/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [04:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 12/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 12/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 12/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [04:00:00 12/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 12/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 12/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [04:00:00 12/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [04:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [04:00:00 12/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [04:00:00 12/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 12/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [04:00:00 12/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [04:00:00 12/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 12/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 12/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 12/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 12/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 12/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [04:00:00 12/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [04:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [03:39:00 12/12/2008] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:39:00 12/12/2008] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.6 rs: Final st: NotStopd t0: [03:39:00 12/12/2008] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 30.7 rs: Final st: NotStopd
t0: [04:33:00 12/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [04:33:00 12/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [04:33:00 12/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [04:33:00 12/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 74 u1: mmHg rs: Final st: NotStopd t0: [04:33:00 12/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [00:00:00 12/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 12/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 12/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 12/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 12/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 12/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 12/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [04:00:00 12/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 12/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 12/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 12/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 12/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 12/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 12/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 12/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 12/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 12/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [04:00:00 12/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 2 mm st: NotStopd t0: [04:00:00 12/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 12/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 12/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 12/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [04:00:00 12/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 12/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 12/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 12/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 12/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 12/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [05:00:00 12/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [05:00:00 12/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 12/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 12/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 12/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [05:00:00 12/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 12/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 12/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [05:00:00 12/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [03:39:00 12/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [03:39:00 12/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [03:39:00 12/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [03:39:00 12/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 124 rs: Final st: NotStopd t0: [03:39:00 12/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [03:39:00 12/12/2008] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.7 u1: mEq/L rs: Final st: NotStopd
t0: [03:39:00 12/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [03:39:00 12/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [03:39:00 12/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [05:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [05:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [05:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [05:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [05:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [05:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 12/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [05:00:00 12/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [05:00:00 12/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [05:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [04:33:00 12/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.11 rs: Final st: NotStopd
t0: [05:00:00 12/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [05:00:00 12/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml
t0: [06:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [06:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [06:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [06:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [06:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 12/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [06:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 12/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [06:00:00 12/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [06:00:00 12/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [06:00:00 12/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 128 rs: Manual st: NotStopd
t0: [06:00:00 12/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 12/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 12/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 12/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 12/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 12/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [06:00:00 12/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 12/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 12/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd
t0: [07:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [07:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [07:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [07:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [07:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [07:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [07:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 12/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 12/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 12/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [08:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [08:00:00 12/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 12/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [08:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:00:00 12/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 12/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 12/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 12/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 12/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [08:00:00 12/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Gravity v2: Coffee Ground st: NotStopd t0: [08:00:00 12/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 12/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [08:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 12/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 12/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [08:00:00 12/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 12/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 12/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 12/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 12/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 12/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 12/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 12/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 12/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 12/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 12/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 12/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 12/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 12/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 12/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 12/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [08:00:00 12/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 12/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 12/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 12/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 12/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 12/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:00:00 12/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [08:00:00 12/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [08:00:00 12/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 12/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 12/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [08:00:00 12/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 12/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 12/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 12/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 12/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 12/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [08:00:00 12/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [08:00:00 12/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 12/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 12/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 12/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 12/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 12/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 12/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 12/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 12/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 12/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 12/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 12/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 180 vu: ml t0: [08:00:00 12/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 24 vu: ml t0: [08:00:00 12/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [08:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [09:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [09:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [09:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [09:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [09:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
id: KCL el: 100 cu: MICU-A cg: RN io: D5/.45NS 10000.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
t0: [09:35:00 12/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [09:35:00 12/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [09:35:00 12/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [09:35:00 12/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [09:35:00 12/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [09:35:00 12/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [09:35:00 12/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [09:35:00 12/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [09:35:00 12/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [09:35:00 12/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [09:35:00 12/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:35:00 12/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [09:35:00 12/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.2 u1: L/min st: NotStopd t0: [09:35:00 12/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:35:00 12/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [09:35:00 12/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [09:35:00 12/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [09:35:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [09:35:00 12/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [09:35:00 12/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [09:35:00 12/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [09:35:00 12/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [09:35:00 12/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [09:35:00 12/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Portex st: NotStopd t0: [09:35:00 12/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [09:35:00 12/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [09:35:00 12/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
io: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 60 ru: ml/hr
t0: [10:00:00 12/12/2008] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
id: D5/.45NS el: 1 cu: MICU-A cg: RN io: D5/.45NS 10000.0ml IV Infusions vo: 10000 du: ml rt: Intravenous Push
t0: [09:45:00 12/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [09:45:00 12/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [09:45:00 12/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [09:45:00 12/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [09:45:00 12/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd
t0: [10:20:00 12/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [10:20:00 12/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [10:20:00 12/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [10:20:00 12/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [10:20:00 12/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [10:20:00 12/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [10:20:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [10:20:00 12/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [10:20:00 12/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [10:20:00 12/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Portex st: NotStopd t0: [10:20:00 12/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [10:20:00 12/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Other/Remarks st: NotStopd
t0: [10:00:00 12/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [10:00:00 12/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [10:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [10:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [10:00:00 12/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [10:00:00 12/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 12/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 12/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [10:00:00 12/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 12/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 12/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 12/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd
t0: [10:00:00 12/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml nb: 1 t0: [10:00:00 12/12/2008] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml st: Stopped t0: [10:00:00 12/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 24 vu: ml t0: [10:00:00 12/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [10:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [11:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:00:00 12/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [11:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [11:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [11:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [11:00:00 12/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thin st: NotStopd t0: [11:00:00 12/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [11:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [11:43:00 12/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [11:43:00 12/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [11:43:00 12/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [11:43:00 12/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [11:43:00 12/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [08:00:00 12/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [10:00:00 12/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 12/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 12/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 12/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 12/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [12:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 12/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 12/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [12:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:00:00 12/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 12/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 12/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 12/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 12/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 12/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [12:00:00 12/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Gravity v2: Clear st: NotStopd t0: [12:00:00 12/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 12/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [12:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 12/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 12/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 12/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [12:00:00 12/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 12/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 12/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 12/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 12/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 12/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 12/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 12/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 12/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 12/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 12/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 12/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 12/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 12/12/2008] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Trach Mask st: NotStopd t0: [12:00:00 12/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 12/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 12/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:00:00 12/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [12:00:00 12/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [12:00:00 12/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 12/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [12:00:00 12/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 12/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 12/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 12/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 12/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 12/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 12/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 12/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 12/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [12:00:00 12/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 12/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 12/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 12/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [12:00:00 12/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 12/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 12/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 12/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 12/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 12/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 12/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [12:00:00 12/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [12:00:00 12/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 12/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 12/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 12/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 12/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 12/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 132 rs: Manual st: NotStopd t0: [12:00:00 12/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 12/12/2008] tf: [16:00:00 13/12/2008] dt: 1680 id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 120 vu: ml t0: [12:00:00 12/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 24 vu: ml t0: [12:00:00 12/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [12:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 12/12/2008] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd
t0: [12:00:00 12/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [13:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [13:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [13:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [13:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 12/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [14:00:00 12/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [14:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [14:00:00 12/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [14:00:00 12/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 12/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 12/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [14:00:00 12/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 12/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 12/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 12/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [14:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 12/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd
t0: [14:00:00 12/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 120 vu: ml t0: [14:00:00 12/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 24 vu: ml t0: [14:00:00 12/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [14:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [15:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [15:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [15:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [15:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 12/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 12/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 12/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 12/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [16:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 12/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 12/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 12/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 12/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 12/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 12/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 12/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 12/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 12/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [16:00:00 12/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Gravity v2: Clear st: NotStopd t0: [16:00:00 12/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [16:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 12/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 12/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 12/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [16:00:00 12/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 12/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 12/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 12/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 12/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 12/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 12/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 12/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 12/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 12/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 12/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 12/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 12/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 12/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 12/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 12/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [16:00:00 12/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [16:00:00 12/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [16:00:00 12/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 12/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 12/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 12/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 12/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 12/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 12/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 12/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 12/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:00:00 12/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [16:00:00 12/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [16:00:00 12/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 12/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 12/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [16:00:00 12/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 12/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 12/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 12/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 12/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:00:00 12/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 12/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [16:00:00 12/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [16:00:00 12/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 12/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 12/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [16:00:00 12/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 12/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 120 vu: ml t0: [16:00:00 12/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 24 vu: ml t0: [16:00:00 12/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [16:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 12/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 12/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 12/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 12/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 12/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [17:00:00 12/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 12/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 12/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [17:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [17:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [17:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [17:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [17:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [17:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 12/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [18:00:00 12/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [18:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [18:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [18:00:00 12/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [18:00:00 12/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 12/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 12/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [18:00:00 12/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 12/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 12/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 12/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [18:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 12/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [18:00:00 12/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 109 rs: Manual st: NotStopd
t0: [18:00:00 12/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 120 vu: ml t0: [18:00:00 12/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 24 vu: ml t0: [18:00:00 12/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [18:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 12/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 12/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 12/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [17:00:00 12/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [17:00:00 12/12/2008] id: O2 Delivery Device el: 0 cu: MICU-A cg: RRT v1: Trach Mask st: NotStopd t0: [17:00:00 12/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [17:00:00 12/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [17:00:00 12/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Other/Remarks st: NotStopd
t0: [20:51:00 12/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [20:51:00 12/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [20:51:00 12/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [20:51:00 12/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [20:51:00 12/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [20:51:00 12/12/2008] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd
t0: [20:30:00 12/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:30:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [20:30:00 12/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:30:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:30:00 12/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:30:00 12/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:30:00 12/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:30:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:30:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:30:00 12/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:30:00 12/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [20:30:00 12/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:30:00 12/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:30:00 12/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [20:30:00 12/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:30:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [20:30:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:30:00 12/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:30:00 12/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:30:00 12/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [20:30:00 12/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:30:00 12/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:30:00 12/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:30:00 12/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [20:30:00 12/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:30:00 12/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:30:00 12/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:30:00 12/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [20:30:00 12/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:30:00 12/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:30:00 12/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:30:00 12/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:30:00 12/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:30:00 12/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:30:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [20:30:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [20:30:00 12/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:30:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:30:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [20:30:00 12/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:30:00 12/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:30:00 12/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:30:00 12/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [20:30:00 12/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:30:00 12/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:30:00 12/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:30:00 12/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:30:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:30:00 12/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [20:30:00 12/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [20:30:00 12/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:30:00 12/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:30:00 12/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:30:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:30:00 12/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:30:00 12/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:30:00 12/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:30:00 12/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:30:00 12/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [20:30:00 12/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [20:30:00 12/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:30:00 12/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:30:00 12/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:30:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:30:00 12/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:30:00 12/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [20:30:00 12/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:30:00 12/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:30:00 12/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:30:00 12/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:30:00 12/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [20:30:00 12/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [20:30:00 12/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [21:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 168 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [21:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [21:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [21:00:00 12/12/2008] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Abdominal Xray st: NotStopd t0: [21:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:30:00 12/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [20:30:00 12/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 150 vu: ml t0: [20:30:00 12/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [20:30:00 12/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [20:30:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 12/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 12/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 2027.5 ap: none t0: [23:00:00 12/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2027.5 ap: none t0: [23:00:00 12/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 917.5 ap: none t0: [23:00:00 12/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 10912.7 ap: carryForward
t0: [21:00:00 12/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [21:00:00 12/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [21:00:00 12/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [21:00:00 12/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [21:00:00 12/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 12/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [21:00:00 12/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:00:00 12/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [21:00:00 12/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [21:00:00 12/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [21:00:00 12/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [21:00:00 12/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [21:00:00 12/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 12/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 6.9 u1: cmH2O st: NotStopd t0: [21:00:00 12/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [21:00:00 12/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 12/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:00:00 12/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [21:00:00 12/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [21:00:00 12/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:00:00 12/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 360 u1: ml/B st: NotStopd t0: [21:00:00 12/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [21:00:00 12/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [21:00:00 12/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [21:00:00 12/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Portex st: NotStopd t0: [21:00:00 12/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [21:00:00 12/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [21:00:00 12/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [21:15:00 12/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd
t0: [22:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [22:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [22:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [22:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [22:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [22:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [23:00:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 12/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 12/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [23:00:00 12/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [23:00:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [23:00:00 12/12/2008] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Abdominal Xray st: NotStopd t0: [23:00:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [23:30:00 12/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [23:30:00 12/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:30:00 12/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [23:30:00 12/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [23:30:00 12/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [23:30:00 12/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:30:00 12/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [23:30:00 12/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:30:00 12/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [23:30:00 12/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Frothy st: NotStopd t0: [23:30:00 12/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [23:30:00 12/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:30:00 12/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 12/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Gravity st: NotStopd t0: [00:00:00 13/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 13/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [00:00:00 13/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 13/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 13/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 13/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 13/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 13/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 13/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 13/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 13/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Gravity st: NotStopd t0: [00:00:00 13/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [00:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 13/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 13/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [00:00:00 13/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 13/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 13/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 13/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 13/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 13/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [00:00:00 13/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 13/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 13/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 13/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 13/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 13/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [00:00:00 13/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [00:00:00 13/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 13/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 13/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 13/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 13/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 13/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 13/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 13/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [00:00:00 13/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [00:00:00 13/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 13/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 13/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 13/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 89 u1: % st: NotStopd t0: [00:00:00 13/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 13/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 13/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 13/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [00:00:00 13/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [00:00:00 13/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [00:00:00 13/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 13/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 13/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 13/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 13/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 13/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 13/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 13/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 13/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [00:00:00 13/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 13/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [00:00:00 13/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 210 vu: ml t0: [00:00:00 13/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 42 vu: ml t0: [00:00:00 13/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [00:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 13/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 136 rs: Manual st: NotStopd
t0: [00:40:00 13/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [00:40:00 13/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [00:40:00 13/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [00:40:00 13/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [00:40:00 13/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:40:00 13/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [00:40:00 13/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:40:00 13/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:40:00 13/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [00:40:00 13/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:40:00 13/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [00:40:00 13/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [00:40:00 13/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:40:00 13/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:40:00 13/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.3 u1: cmH2O st: NotStopd t0: [00:40:00 13/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.9 u1: L/min st: NotStopd t0: [00:40:00 13/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:40:00 13/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:40:00 13/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [00:40:00 13/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [00:40:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [00:40:00 13/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:40:00 13/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 280 u1: ml/B st: NotStopd t0: [00:40:00 13/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [00:40:00 13/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [00:40:00 13/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [00:40:00 13/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Portex st: NotStopd t0: [00:40:00 13/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:40:00 13/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [00:40:00 13/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [02:00:00 13/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [02:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [02:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [02:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [02:00:00 13/12/2008] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Abdominal Xray st: NotStopd t0: [02:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 13/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [04:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [04:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 13/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [04:00:00 13/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [04:00:00 13/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [04:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 13/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 13/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 240 vu: ml t0: [04:00:00 13/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 48 vu: ml t0: [04:00:00 13/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 210 vu: ml
t0: [04:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [04:30:00 13/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [04:30:00 13/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [04:30:00 13/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [04:30:00 13/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [04:30:00 13/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:30:00 13/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [04:30:00 13/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:30:00 13/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:30:00 13/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [04:30:00 13/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:30:00 13/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [04:30:00 13/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [04:30:00 13/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:30:00 13/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:30:00 13/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.6 u1: cmH2O st: NotStopd t0: [04:30:00 13/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.1 u1: L/min st: NotStopd t0: [04:30:00 13/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:30:00 13/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:30:00 13/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [04:30:00 13/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:30:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 94 u1: % st: NotStopd t0: [04:30:00 13/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:30:00 13/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 260 u1: ml/B st: NotStopd t0: [04:30:00 13/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [04:30:00 13/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [04:30:00 13/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [04:30:00 13/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Portex st: NotStopd t0: [04:30:00 13/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [04:30:00 13/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [04:30:00 13/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [05:00:00 13/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg st: NotStopd t0: [05:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [05:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [05:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [05:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [05:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 13/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [05:00:00 13/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 60 vu: ml t0: [05:00:00 13/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml
t0: [05:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [05:30:00 13/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [05:00:00 13/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 24.8 u1: % rs: Final st: NotStopd t0: [05:00:00 13/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 13/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 532 rs: Final st: NotStopd t0: [05:00:00 13/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.96 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 13/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 14.1 rs: Final st: NotStopd
t0: [05:00:00 13/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [05:00:00 13/12/2008] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 13/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [05:00:00 13/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [05:00:00 13/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:00:00 13/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 150 rs: Final st: NotStopd t0: [05:00:00 13/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:00:00 13/12/2008] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 13/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [05:00:00 13/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [06:00:00 13/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 60 vu: ml t0: [06:00:00 13/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [06:00:00 13/12/2008] tf: [20:00:00 14/12/2008] dt: 2280 id: Drain Out #1 Other el: 1 cu: MICU-A cg: RN vo: 110 vu: ml t0: [06:00:00 13/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 46 vu: ml
t0: [23:00:00 13/12/2008] dt: 24 id: Drain #1 Total Out el: 2 cu: MICU-A cg: RN cv: 110 ap: none
t0: [05:59:00 13/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [05:59:00 13/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [05:59:00 13/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [05:59:00 13/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 73 u1: mmHg rs: Final st: NotStopd t0: [05:59:00 13/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.52 rs: Final st: NotStopd
t0: [06:00:00 13/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 3 u1: mmHg st: NotStopd t0: [06:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [06:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [06:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 13/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [07:00:00 13/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 60 vu: ml t0: [07:00:00 13/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml
t0: [07:00:00 13/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg st: NotStopd t0: [07:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [07:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [07:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 57.8 u1: kg st: NotStopd t0: [07:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [07:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 13/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 13/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 13/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [08:00:00 13/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [08:00:00 13/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 13/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 13/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 13/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:00:00 13/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 13/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 13/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 13/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 13/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [08:00:00 13/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Gravity v2: Clear st: NotStopd t0: [08:00:00 13/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 13/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [08:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 13/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 13/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [08:00:00 13/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 13/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 13/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 13/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 13/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 13/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 13/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 13/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 13/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 13/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 13/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 13/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 13/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 13/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 13/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 13/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [08:00:00 13/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 13/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 13/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 13/12/2008] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [08:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [08:00:00 13/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 13/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 13/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 13/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 13/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 13/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 13/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 13/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [08:00:00 13/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [08:00:00 13/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 13/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 13/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [08:00:00 13/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 13/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 13/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 13/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 13/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 13/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 13/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 13/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 13/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 13/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 13/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 13/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 13/12/2008] id: BSA - English el: 0 cu: MICU-A cg: RN v1: 1.06064 u1: m2 st: NotStopd t0: [08:00:00 13/12/2008] id: BSA - Metric el: 0 cu: MICU-A cg: RN v1: 1.24248 u1: m2 st: NotStopd t0: [08:00:00 13/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 13/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 13/12/2008] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/12/2008] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [08:00:00 13/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 13/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 13/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 13/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 13/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 13/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 13/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 13/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 13/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 13/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [08:00:00 13/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 60 vu: ml t0: [08:00:00 13/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [08:00:00 13/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [07:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [08:30:00 13/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RT v1: 11 v2: 29 st: NotStopd t0: [08:30:00 13/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RT v1: No st: NotStopd t0: [08:30:00 13/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.4 u1: torr st: NotStopd t0: [08:30:00 13/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RT v1: 6 u1: lpm st: NotStopd t0: [08:30:00 13/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [08:30:00 13/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 30 u1: cmH2O st: NotStopd t0: [08:30:00 13/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [08:30:00 13/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 8.0 mm st: NotStopd t0: [08:30:00 13/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Tracheostomy st: NotStopd t0: [08:30:00 13/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT v1: 33 u1: Deg. C st: NotStopd t0: [08:30:00 13/12/2008] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 11 v2: 29 st: NotStopd t0: [08:30:00 13/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 3 st: NotStopd t0: [08:30:00 13/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [08:30:00 13/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT st: NotStopd t0: [08:30:00 13/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 7 u1: cmH2O st: NotStopd t0: [08:30:00 13/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 4.5 u1: L/min st: NotStopd t0: [08:30:00 13/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [08:30:00 13/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [08:30:00 13/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RT v1: 5 u1: . st: NotStopd t0: [08:30:00 13/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 20 u1: BPM st: NotStopd t0: [08:30:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 97 u1: % st: NotStopd t0: [08:30:00 13/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [08:30:00 13/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RT v1: 230 u1: ml/B st: NotStopd t0: [08:30:00 13/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RT v1: Yes v2: No st: NotStopd t0: [08:30:00 13/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RT v1: #8 st: NotStopd t0: [08:30:00 13/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RT v1: Deflated st: NotStopd t0: [08:30:00 13/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RT v1: Portex st: NotStopd t0: [08:30:00 13/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: CPAP+PS st: NotStopd t0: [08:30:00 13/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 16 u1: # st: NotStopd t0: [08:30:00 13/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd
t0: [09:00:00 13/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [09:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [09:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [09:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [09:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 13/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.5 u1: torr st: NotStopd t0: [10:00:00 13/12/2008] id: O2 Delivery Device el: 0 cu: MICU-A cg: RT v1: Trach Mask st: NotStopd t0: [10:00:00 13/12/2008] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RT v1: 12 u1: lpm st: NotStopd
t0: [10:00:00 13/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 13/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [10:00:00 13/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [10:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [10:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [10:00:00 13/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [10:00:00 13/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 13/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 13/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [10:00:00 13/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 13/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 13/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 13/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [10:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 13/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd
t0: [10:00:00 13/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 120 vu: ml t0: [10:00:00 13/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 24 vu: ml t0: [10:00:00 13/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [10:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [10:30:00 13/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 0 vu: ml nb: 1
t0: [11:00:00 13/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [11:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [11:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [11:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [11:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [11:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 13/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 138 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [12:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [12:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [12:00:00 13/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd
t0: [11:51:00 13/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [11:51:00 13/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [11:51:00 13/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [11:51:00 13/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 81 u1: mmHg rs: Final st: NotStopd t0: [11:51:00 13/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [11:51:00 13/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.01 rs: Final st: NotStopd
t0: [12:00:00 13/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 13/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 13/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 13/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [12:00:00 13/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [12:00:00 13/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 13/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 13/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 13/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [12:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:00:00 13/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 13/12/2008] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 13/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 13/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 13/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 13/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 13/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 13/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 13/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 13/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [12:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 13/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 13/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 13/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [12:00:00 13/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 13/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 13/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 13/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 13/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 13/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 13/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 13/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 13/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 13/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 13/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [12:00:00 13/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 13/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 13/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 13/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 13/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 13/12/2008] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Trach Mask st: NotStopd t0: [12:00:00 13/12/2008] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 12 u1: lpm st: NotStopd t0: [12:00:00 13/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 13/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 13/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 13/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 13/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [12:00:00 13/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 13/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [12:00:00 13/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 13/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 13/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 13/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [12:00:00 13/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 13/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 13/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 13/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 13/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 13/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [12:00:00 13/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 13/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 13/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 13/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [12:00:00 13/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 13/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 13/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 13/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 13/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [12:00:00 13/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 13/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 13/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 13/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [12:00:00 13/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 13/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 13/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 13/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 13/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 130 rs: Manual st: NotStopd t0: [12:00:00 13/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 13/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [12:00:00 13/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [12:00:00 13/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 120 vu: ml t0: [12:00:00 13/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 24 vu: ml t0: [12:00:00 13/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 45 vu: ml t0: [12:00:00 13/12/2008] tf: [14:13:00 17/12/2008] dt: 5893 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 30 vu: ml t0: [12:00:00 13/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [12:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 13/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [13:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [13:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [13:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 13/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [13:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 13/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 13/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [14:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 13/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [14:00:00 13/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 13/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:00:00 13/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [14:00:00 13/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 13/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 13/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 13/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [14:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 13/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd
t0: [14:00:00 13/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 120 vu: ml t0: [14:00:00 13/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 22 vu: ml t0: [14:00:00 13/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 40 vu: ml t0: [14:00:00 13/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [14:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [15:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [15:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [15:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 7 du: mghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 13/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 13/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 13/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 13/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 13/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [16:00:00 13/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 13/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 13/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 13/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 13/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 13/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 13/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 13/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 13/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 13/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 13/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 13/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 13/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [16:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 13/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 13/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 13/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [16:00:00 13/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 13/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 13/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 13/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 13/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 13/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 13/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 13/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 13/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 13/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 13/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [16:00:00 13/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 13/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [16:00:00 13/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 13/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 13/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 13/12/2008] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Trach Mask st: NotStopd t0: [16:00:00 13/12/2008] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 12 u1: lpm st: NotStopd t0: [16:00:00 13/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 13/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 13/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 13/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [16:00:00 13/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 13/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 13/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [16:00:00 13/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 13/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [16:00:00 13/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 13/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [16:00:00 13/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 13/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [16:00:00 13/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 13/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 13/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [16:00:00 13/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [16:00:00 13/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [16:00:00 13/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 13/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 13/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [16:00:00 13/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 13/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 13/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 13/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 13/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 13/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 13/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:00:00 13/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 13/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [16:00:00 13/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [16:00:00 13/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 13/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [16:00:00 13/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 13/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 13/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 13/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [16:00:00 13/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 13/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [16:00:00 13/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 120 vu: ml st: Stopped t0: [16:00:00 13/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 17 vu: ml t0: [16:00:00 13/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 40 vu: ml t0: [16:00:00 13/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [16:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip
t0: [15:30:00 11/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [16:20:00 13/12/2008] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [23:00:00 13/12/2008] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: 1663 cv: 45 ap: none
id: Packed RBC's el: 1 cu: MICU-A cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [17:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [17:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [17:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [17:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [17:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 13/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 13/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 13/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 13/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 13/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 13/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [18:00:00 13/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 13/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 13/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 13/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 13/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 13/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [18:00:00 13/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [18:00:00 13/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 108 rs: Manual st: NotStopd t0: [18:15:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:15:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:15:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:15:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [18:15:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:15:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:15:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [18:15:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:15:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [18:15:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [18:15:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:15:00 13/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [18:15:00 13/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [18:15:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 13/12/2008] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [18:00:00 13/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 80 vu: ml t0: [18:00:00 13/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 160 vu: ml t0: [18:15:00 13/12/2008] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 0 vu: ml nb: 1
t0: [17:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [18:15:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 13/12/2008] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 375 ap: none
t0: [18:35:00 13/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RT v1: 11 v2: 29 st: NotStopd t0: [18:35:00 13/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RT v1: No st: NotStopd t0: [18:35:00 13/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.4 u1: torr st: NotStopd t0: [18:35:00 13/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RT v1: 6 u1: lpm st: NotStopd t0: [18:35:00 13/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [18:35:00 13/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 30 u1: cmH2O st: NotStopd t0: [18:35:00 13/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [18:35:00 13/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 8.0 mm st: NotStopd t0: [18:35:00 13/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Tracheostomy st: NotStopd t0: [18:35:00 13/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT v1: 33 u1: Deg. C st: NotStopd t0: [18:35:00 13/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 3 st: NotStopd t0: [18:35:00 13/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [18:35:00 13/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 4 v2: Albuterol st: NotStopd t0: [18:35:00 13/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 7 u1: cmH2O st: NotStopd t0: [18:35:00 13/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 7.8 u1: L/min st: NotStopd t0: [18:35:00 13/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [18:35:00 13/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [18:35:00 13/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RT v1: 5 u1: . st: NotStopd t0: [18:35:00 13/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 27 u1: BPM st: NotStopd t0: [18:35:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 99 u1: % st: NotStopd t0: [18:35:00 13/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [18:35:00 13/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RT v1: White v2: Thick st: NotStopd t0: [18:35:00 13/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RT v1: Suctioned v2: Scant st: NotStopd t0: [18:35:00 13/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RT v1: 300 u1: ml/B st: NotStopd t0: [18:35:00 13/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RT v1: Yes v2: No st: NotStopd t0: [18:35:00 13/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RT v1: #8 st: NotStopd t0: [18:35:00 13/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RT v1: Inflated st: NotStopd t0: [18:35:00 13/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RT v1: Portex st: NotStopd t0: [18:35:00 13/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: CPAP+PS st: NotStopd t0: [18:35:00 13/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 16 u1: # st: NotStopd t0: [18:35:00 13/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd
t0: [18:30:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:30:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:30:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:30:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [18:30:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:30:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:30:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [18:30:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:30:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [18:30:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [18:30:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:30:00 13/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [18:30:00 13/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [18:30:00 13/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [18:30:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 13/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 13/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 13/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 13/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 13/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 13/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 13/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 13/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 13/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [20:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 13/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 13/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 13/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 13/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 13/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 13/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 13/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 13/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [20:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [20:00:00 13/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 13/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 13/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 13/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 13/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 13/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal st: NotStopd t0: [20:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 13/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 13/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 13/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 13/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 13/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [20:00:00 13/12/2008] tf: [08:00:00 14/12/2008] dt: 720 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 13/12/2008] tf: [06:00:00 14/12/2008] dt: 600 id: D5W 100.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [20:00:00 13/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 80 vu: ml t0: [20:00:00 13/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [20:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 13/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 13/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [21:00:00 13/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 13/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [21:00:00 13/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [21:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 13/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [21:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [21:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 13/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 13/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 13/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [21:00:00 13/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [21:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [21:00:00 13/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [21:00:00 13/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 13/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [21:00:00 13/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 13/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [21:00:00 13/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [21:00:00 13/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 13/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [21:00:00 13/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 13/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 13/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [21:00:00 13/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [21:00:00 13/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [21:00:00 13/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [21:00:00 13/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [21:00:00 13/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 13/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [21:00:00 13/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [21:00:00 13/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [21:00:00 13/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 13/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [21:00:00 13/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [21:00:00 13/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [21:00:00 13/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [21:00:00 13/12/2008] id: D5W 100.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [21:00:00 13/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 40 vu: ml t0: [21:00:00 13/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 42 vu: ml
t0: [21:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip
t0: [21:49:00 13/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [21:49:00 13/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [21:49:00 13/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:49:00 13/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [21:49:00 13/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:49:00 13/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [21:49:00 13/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:49:00 13/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [21:49:00 13/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [21:49:00 13/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.4 u1: Deg. C st: NotStopd t0: [21:49:00 13/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [21:49:00 13/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:49:00 13/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [21:49:00 13/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.4 u1: cmH2O st: NotStopd t0: [21:49:00 13/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.28 u1: L/min st: NotStopd t0: [21:49:00 13/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:49:00 13/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [21:49:00 13/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [21:49:00 13/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [21:49:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [21:49:00 13/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:49:00 13/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [21:49:00 13/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [21:49:00 13/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [21:49:00 13/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [21:49:00 13/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Portex st: NotStopd t0: [21:49:00 13/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [21:49:00 13/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [21:49:00 13/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [23:00:00 13/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [23:00:00 13/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 13/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 13/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 13/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [23:00:00 13/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 13/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [23:00:00 13/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [23:00:00 13/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 13/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [23:00:00 13/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 13/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 13/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [23:00:00 13/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 13/12/2008] id: D5W 100.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [23:00:00 13/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [23:00:00 13/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [23:00:00 13/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 13/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 13/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 68 cv: 68 ap: none t0: [23:00:00 13/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 8 cv: 1923 ap: none t0: [23:00:00 13/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 118 cv: 2763 ap: none t0: [23:00:00 13/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 110 cv: 420 ap: none t0: [23:00:00 13/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 1398 ap: none t0: [23:00:00 13/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 68 cv: 1255 ap: none t0: [23:00:00 13/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 50 cv: 1508 ap: none t0: [23:00:00 13/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 60 cv: 11539.7 ap: carryForward
id: Diltiazem el: 101 cu: MICU-A cg: RN io: D5W 100.0ml + 125mghr Diltiazem IV Infusions am: 125 du: mghr rt: IV Drip
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 100.0ml + 125mghr Diltiazem IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [00:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [00:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [00:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [00:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [00:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [00:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 14/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 14/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 14/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 14/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 14/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [00:00:00 14/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [00:00:00 14/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [00:00:00 14/12/2008] tf: [17:00:00 14/12/2008] dt: 1020 id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [00:00:00 14/12/2008] id: D5W 100.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [00:00:00 14/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [00:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [00:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [23:00:00 14/12/2008] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 90 ap: none
t0: [00:00:00 14/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 14/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 14/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 14/12/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 14/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 14/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 14/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 14/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 14/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 14/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [00:00:00 14/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 14/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 14/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 14/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 14/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 14/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 14/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 14/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 14/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 14/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 14/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 14/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 14/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 14/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 14/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 14/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 14/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 14/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 14/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 14/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:06:00 14/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 u1: mmHg rs: Final st: NotStopd t0: [00:06:00 14/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 u1: mmHg rs: Final st: NotStopd t0: [00:06:00 14/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.53 rs: Final st: NotStopd
t0: [00:05:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:05:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:05:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [00:05:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:05:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [00:05:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 14/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip
t0: [00:06:00 14/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: RN v1: 1.06 rs: Final st: NotStopd t0: [00:06:00 14/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: RN v1: 3.8 rs: Final st: NotStopd
t0: [00:06:00 14/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 160 rs: Final st: NotStopd
t0: [01:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [01:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [01:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [01:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [01:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [01:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [01:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 14/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [01:00:00 14/12/2008] id: D5W 100.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [01:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [01:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [01:00:00 14/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip
t0: [01:30:00 14/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:30:00 14/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 0 u1: lpm st: NotStopd t0: [01:30:00 14/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [01:30:00 14/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:30:00 14/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [01:30:00 14/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [01:30:00 14/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [01:30:00 14/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [01:30:00 14/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:30:00 14/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.2 u1: cmH2O st: NotStopd t0: [01:30:00 14/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.8 u1: L/min st: NotStopd t0: [01:30:00 14/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:30:00 14/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:30:00 14/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [01:30:00 14/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [01:30:00 14/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [01:30:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [01:30:00 14/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 290 u1: ml/B st: NotStopd t0: [01:30:00 14/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [01:30:00 14/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [01:30:00 14/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [02:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [02:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [02:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [02:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [02:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [02:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 14/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [02:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [02:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [02:00:00 14/12/2008] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 du: mghr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [00:00:00 14/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 14/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 14/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 14/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 14/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 14/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 14/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 14/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 14/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 14/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 14/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 14/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 14/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 14/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 14/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 14/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 14/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 14/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [02:00:00 14/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd
t0: [00:00:00 14/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 14/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 14/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 14/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [00:00:00 14/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 14/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 14/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [00:00:00 14/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [02:00:00 14/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 14/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 14/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 14/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 14/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 14/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 14/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd
t0: [03:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [03:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [03:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [03:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [03:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [03:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [04:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [04:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [04:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 14/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [04:00:00 14/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 14/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [04:00:00 14/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [04:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 14/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [03:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [03:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml t0: [04:00:00 14/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [04:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [04:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [04:50:00 14/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:50:00 14/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 0 u1: lpm st: NotStopd t0: [04:50:00 14/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [04:50:00 14/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:50:00 14/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:50:00 14/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [04:50:00 14/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:50:00 14/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [04:50:00 14/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:50:00 14/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.1 u1: cmH2O st: NotStopd t0: [04:50:00 14/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.7 u1: L/min st: NotStopd t0: [04:50:00 14/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:50:00 14/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:50:00 14/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [04:50:00 14/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [04:50:00 14/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [04:50:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [04:50:00 14/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [04:50:00 14/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [04:50:00 14/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [04:50:00 14/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [05:10:00 14/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [05:10:00 14/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [05:10:00 14/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [05:10:00 14/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 115 u1: mmHg rs: Final st: NotStopd t0: [05:10:00 14/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [05:10:00 14/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:10:00 14/12/2008] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [05:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [05:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [05:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [05:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [05:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [05:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 14/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [05:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [05:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [06:00:00 14/12/2008] id: D5W 100.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [05:30:00 14/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 562 rs: Final st: NotStopd t0: [05:30:00 14/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.7 rs: Final st: NotStopd
t0: [05:10:00 14/12/2008] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 13.3572 u1: ml/dl st: NotStopd t0: [05:30:00 14/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29 u1: % rs: Final st: NotStopd t0: [05:30:00 14/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [05:30:00 14/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.44 u1: /mic l rs: Final st: NotStopd
t0: [00:00:00 14/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 14/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 14/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [02:00:00 14/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 14/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 14/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd
t0: [06:00:00 14/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [06:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml
t0: [00:00:00 14/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [02:00:00 14/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 14/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 14/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 14/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 14/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 14/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 14/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 14/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 14/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 14/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 14/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 14/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 14/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [04:00:00 14/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 14/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 14/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm st: NotStopd t0: [04:00:00 14/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 14/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 14/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 14/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 14/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 14/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 14/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 14/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 14/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 14/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 14/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 14/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 14/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 14/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 14/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [04:00:00 14/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 14/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 14/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 14/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 14/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 14/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 14/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 14/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 14/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [05:30:00 14/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [05:30:00 14/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [05:30:00 14/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [05:30:00 14/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [05:30:00 14/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 131 rs: Final st: NotStopd t0: [05:30:00 14/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [05:30:00 14/12/2008] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [05:30:00 14/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [05:30:00 14/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [22:00:00 13/12/2008] tf: [14:13:00 17/12/2008] dt: 5293 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 375 vu: ml
t0: [06:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [06:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [06:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [06:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [06:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [06:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [07:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [07:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [07:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [07:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml t0: [07:00:00 14/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [07:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [07:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [08:00:00 14/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 14/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 14/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 14/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Asleep, Sluggish st: NotStopd t0: [08:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [08:00:00 14/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 14/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 14/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 14/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 14/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 14/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 14/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 14/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 14/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 14/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [08:00:00 14/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 14/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [08:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 14/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 14/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 14/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [08:00:00 14/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 14/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 14/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [08:00:00 14/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 14/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 14/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 14/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 14/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 14/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 14/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 14/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 14/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 14/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 14/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 14/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 14/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [08:00:00 14/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [08:00:00 14/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 14/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 14/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [08:00:00 14/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 14/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 14/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 14/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 14/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 14/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 14/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 14/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 14/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 14/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [08:00:00 14/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 14/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 14/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Asleep, Sluggish st: NotStopd t0: [08:00:00 14/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 14/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 14/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 14/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 14/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 14/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 14/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [08:00:00 14/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [08:00:00 14/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 14/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 14/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 14/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [08:00:00 14/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 14/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 14/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 14/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 14/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 14/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 14/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 14/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 14/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 14/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [08:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [08:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [09:00:00 14/12/2008] id: Neg Insp Force(>-25) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 14/12/2008] id: RSBI (<200) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 14/12/2008] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 14/12/2008] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 14/12/2008] id: Vital Cap (>1.0)L el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [09:10:00 14/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RT v1: 11 v2: 29 st: NotStopd t0: [09:10:00 14/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RT v1: No st: NotStopd t0: [09:10:00 14/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.4 u1: torr st: NotStopd t0: [09:10:00 14/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 30 u1: cmH2O st: NotStopd t0: [09:10:00 14/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [09:10:00 14/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 8.0 mm st: NotStopd t0: [09:10:00 14/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Tracheostomy st: NotStopd t0: [09:10:00 14/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT v1: 33 u1: Deg. C st: NotStopd t0: [09:10:00 14/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 3 st: NotStopd t0: [09:10:00 14/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [09:10:00 14/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT st: NotStopd t0: [09:10:00 14/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 7.3 u1: cmH2O st: NotStopd t0: [09:10:00 14/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 7.6 u1: L/min st: NotStopd t0: [09:10:00 14/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [09:10:00 14/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [09:10:00 14/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RT v1: 5 u1: . st: NotStopd t0: [09:10:00 14/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 24 u1: BPM st: NotStopd t0: [09:10:00 14/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 1 u1: cmH2O st: NotStopd t0: [09:10:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 99 u1: % st: NotStopd t0: [09:10:00 14/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [09:10:00 14/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RT v1: White v2: Thick st: NotStopd t0: [09:10:00 14/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RT v1: Suctioned v2: Scant st: NotStopd t0: [09:10:00 14/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RT v1: 320 u1: ml/B st: NotStopd t0: [09:10:00 14/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RT v1: Yes v2: No st: NotStopd t0: [09:10:00 14/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RT v1: #8 st: NotStopd t0: [09:10:00 14/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RT v1: Inflated st: NotStopd t0: [09:10:00 14/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RT v1: Portex st: NotStopd t0: [09:10:00 14/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: CPAP+PS st: NotStopd t0: [09:10:00 14/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 16 u1: # st: NotStopd t0: [09:10:00 14/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd
t0: [09:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 3 u1: mmHg st: NotStopd t0: [09:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [09:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [09:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [09:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 14/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 3 u1: mmHg st: NotStopd t0: [10:00:00 14/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [10:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [10:00:00 14/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [10:00:00 14/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 14/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 14/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [10:00:00 14/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 14/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 14/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 14/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [10:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 14/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd
t0: [10:00:00 14/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [10:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [10:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [10:30:00 14/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.5 u1: torr st: NotStopd t0: [10:30:00 14/12/2008] id: O2 Delivery Device el: 0 cu: MICU-A cg: RT v1: Trach Mask st: NotStopd t0: [10:30:00 14/12/2008] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RT v1: 12 u1: lpm st: NotStopd
t0: [10:30:00 14/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RT v1: White v2: Thick st: NotStopd t0: [10:30:00 14/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RT v1: Suctioned v2: Small st: NotStopd
t0: [11:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [11:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [11:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [11:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [11:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [11:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 14/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 14/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 14/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 14/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [12:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [12:00:00 14/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 14/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 14/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 14/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 14/12/2008] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 14/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 14/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 14/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 14/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 14/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 14/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 14/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [12:00:00 14/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 14/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [12:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 14/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 14/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 14/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 14/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [12:00:00 14/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 14/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 14/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [12:00:00 14/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 14/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 14/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [12:00:00 14/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [12:00:00 14/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 14/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 14/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 14/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 14/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 14/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 14/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 14/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 14/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 14/12/2008] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Trach Mask st: NotStopd t0: [12:00:00 14/12/2008] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 12 u1: lpm st: NotStopd t0: [12:00:00 14/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 14/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 14/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [12:00:00 14/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [12:00:00 14/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 14/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 14/12/2008] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 14/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [12:00:00 14/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 14/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 14/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 14/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 14/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 14/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 14/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 14/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 14/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 14/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 14/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 14/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 14/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 14/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [12:00:00 14/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 14/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 14/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 14/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 14/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [12:00:00 14/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 14/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 14/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 14/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [12:00:00 14/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [12:00:00 14/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 14/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 14/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 14/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 14/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 14/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 14/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 136 rs: Manual st: NotStopd t0: [12:00:00 14/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 14/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [12:00:00 14/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [12:00:00 14/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [12:00:00 14/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [12:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [12:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [12:00:00 14/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [12:00:00 14/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [12:00:00 14/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd
t0: [13:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 1 u1: mmHg st: NotStopd t0: [13:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [13:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [13:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [13:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [13:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 14/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg st: NotStopd t0: [14:00:00 14/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [14:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [14:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg st: NotStopd t0: [14:00:00 14/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [14:00:00 14/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 14/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 14/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [14:00:00 14/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 14/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 14/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 14/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [14:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 14/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd
t0: [14:00:00 14/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [14:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [14:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 240 vu: ml
t0: [15:00:00 14/12/2008] id: CVP el: 0 cu: MICU-A cg: RN v1: 1 u1: mmHg st: NotStopd t0: [15:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [15:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 171 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [15:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [15:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [15:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [15:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:15:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [15:15:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 168 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [15:15:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [15:15:00 14/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd t0: [15:15:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:20:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:20:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 162 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [15:20:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [15:20:00 14/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd t0: [15:20:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 14/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 14/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 14/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 14/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [16:00:00 14/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 14/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 14/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 14/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 14/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 14/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 14/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 14/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 14/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 14/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 14/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [16:00:00 14/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 14/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [16:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 14/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 14/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 14/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 14/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [16:00:00 14/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 14/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 14/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 14/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 20 st: NotStopd t0: [16:00:00 14/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 14/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 14/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 14/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [16:00:00 14/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [16:00:00 14/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [16:00:00 14/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [16:00:00 14/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 14/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 14/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 14/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 14/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 14/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 14/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 14/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 14/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 14/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 14/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 14/12/2008] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Trach Mask st: NotStopd t0: [16:00:00 14/12/2008] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 12 u1: lpm st: NotStopd t0: [16:00:00 14/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 14/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 14/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [16:00:00 14/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [16:00:00 14/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 14/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 14/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [16:00:00 14/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd t0: [16:00:00 14/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 14/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 14/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 14/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 14/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 14/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 14/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 14/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 14/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 14/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 14/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [16:00:00 14/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 14/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 14/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [16:00:00 14/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 14/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 14/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 14/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 14/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 14/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [16:00:00 14/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 14/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:00:00 14/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 14/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [16:00:00 14/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [16:00:00 14/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 14/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 14/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 14/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 14/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 14/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [16:00:00 14/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 14/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [16:00:00 14/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [16:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [16:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [16:51:00 14/12/2008] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 1.51832 u1: m2 t0: [16:51:00 14/12/2008] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 51.7 u1: kg t0: [16:51:00 14/12/2008] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [16:51:00 14/12/2008] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: MCA STOKE S/P THROMBOLYSIS t0: [16:51:00 14/12/2008] id: Service el: 1026 cu: MICU-A cg: -1 v1: NME t0: [16:51:00 14/12/2008] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 62 u1: inches t0: [16:51:00 14/12/2008] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [16:51:00 14/12/2008] id: Marital Status el: 1006 cu: MICU-A cg: -1 t0: [16:51:00 14/12/2008] id: Religion el: 1000 cu: MICU-A cg: -1 v1: JEW t0: [16:51:00 14/12/2008] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [16:51:00 14/12/2008] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [16:51:00 14/12/2008] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [16:51:00 14/12/2008] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [17:00:00 14/12/2008] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 14/12/2008] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 14/12/2008] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 14/12/2008] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [17:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 14/12/2008] id: INV Line#2 D/C Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [17:00:00 14/12/2008] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [17:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [17:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg st: NotStopd t0: [17:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [17:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 14/12/2008] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml st: Stopped
t0: [17:34:00 14/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [17:34:00 14/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [17:34:00 14/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [17:34:00 14/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [17:34:00 14/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [17:34:00 14/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 121 rs: Final st: NotStopd
t0: [18:00:00 14/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 14/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [18:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 163 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [18:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [18:00:00 14/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [18:00:00 14/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 14/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 14/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [18:00:00 14/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 14/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 14/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 14/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [18:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 14/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd
t0: [18:00:00 14/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [18:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [18:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [20:00:00 14/12/2008] id: Drain Out #1 Other el: 1 cu: MICU-A cg: -1 vo: 0 st: D/C'd
t0: [20:00:00 14/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 14/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 14/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 14/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 14/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 14/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 14/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 14/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 14/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 14/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 14/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 14/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 14/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 14/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [20:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 14/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 14/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 14/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [20:00:00 14/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 14/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 14/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [20:00:00 14/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [20:00:00 14/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [20:00:00 14/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [20:00:00 14/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 14/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 14/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 14/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 14/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 14/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 14/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 14/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 14/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 14/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 14/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [20:00:00 14/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [20:00:00 14/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 14/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 14/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [20:00:00 14/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 14/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 14/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 14/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 14/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 14/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 14/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 14/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 14/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 14/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 14/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 14/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 14/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 14/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 14/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 14/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 14/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 14/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 14/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 14/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 14/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [20:00:00 14/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [20:00:00 14/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [20:00:00 14/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 14/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 14/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 14/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [20:00:00 14/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [20:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [20:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [23:00:00 14/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 338 ap: none
t0: [21:00:00 14/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 14/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 14/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 14/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 14/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [21:00:00 14/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 14/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 14/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 14/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [21:05:00 14/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:05:00 14/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 0 u1: lpm st: NotStopd t0: [21:05:00 14/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [21:05:00 14/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:05:00 14/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [21:05:00 14/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [21:05:00 14/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [21:05:00 14/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [21:05:00 14/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:05:00 14/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.2 u1: cmH2O st: NotStopd t0: [21:05:00 14/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [21:05:00 14/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:05:00 14/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:05:00 14/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [21:05:00 14/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [21:05:00 14/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [21:05:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [21:05:00 14/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [21:05:00 14/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [21:05:00 14/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [21:05:00 14/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [21:05:00 14/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [21:05:00 14/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [21:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [21:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 162 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [21:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg st: NotStopd t0: [21:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [21:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 14/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 14/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [22:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [22:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [22:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [22:00:00 14/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [22:00:00 14/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 14/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 14/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [22:00:00 14/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 14/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 14/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 14/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [22:00:00 14/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [23:00:00 14/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 14/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 14/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1693 ap: none t0: [23:00:00 14/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 1265 ap: none t0: [23:00:00 14/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1650 ap: none t0: [23:00:00 14/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 43 ap: none t0: [23:00:00 14/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1650 ap: none t0: [23:00:00 14/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 11574.7 ap: carryForward
t0: [20:00:00 14/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 14/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 14/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:00:00 14/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 14/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [23:00:00 14/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 14/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [23:00:00 14/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [23:00:00 14/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 14/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [23:00:00 14/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 14/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 14/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 15/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 15/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 15/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 15/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 15/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 15/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 15/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 15/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 15/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 15/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 15/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 15/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [00:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 15/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 15/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 15/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 15/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [00:00:00 15/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 15/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 15/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [00:00:00 15/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [00:00:00 15/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [00:00:00 15/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [00:00:00 15/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 15/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 15/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 15/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 15/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 15/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 15/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 15/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 15/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [00:00:00 15/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg st: NotStopd t0: [00:00:00 15/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 15/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [00:00:00 15/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 15/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 15/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 15/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 15/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 15/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 15/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 15/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 15/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 15/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 15/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 15/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 15/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 15/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 15/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 15/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 15/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 15/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 15/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 15/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 15/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 15/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 15/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 15/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 15/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 15/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 15/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 116 rs: Manual st: NotStopd
t0: [00:00:00 15/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [00:00:00 15/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 15/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [00:00:00 15/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [23:00:00 15/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 15/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 15/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1710 ap: none t0: [23:00:00 15/12/2008] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 190 ap: none t0: [23:00:00 15/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 1320 ap: none t0: [23:00:00 15/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1720 ap: none t0: [23:00:00 15/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: -10 ap: carryForward t0: [23:00:00 15/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1720 ap: carryForward t0: [23:00:00 15/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 11564.7 ap: carryForward
t0: [01:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [01:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [01:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 169 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [01:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [01:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [01:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 15/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 15/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 15/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 15/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 15/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 15/12/2008] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 59.7 u1: kg st: NotStopd t0: [02:00:00 15/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 15/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 15/12/2008] id: BSA - English el: 0 cu: MICU-A cg: RN v1: 1.06363 u1: m2 st: NotStopd t0: [02:00:00 15/12/2008] id: BSA - Metric el: 0 cu: MICU-A cg: RN v1: 1.2459 u1: m2 st: NotStopd t0: [02:00:00 15/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 15/12/2008] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0.3 u1: kg st: NotStopd t0: [02:00:00 15/12/2008] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd
t0: [01:25:00 15/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:25:00 15/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 0 u1: lpm st: NotStopd t0: [01:25:00 15/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [01:25:00 15/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:25:00 15/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [01:25:00 15/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [01:25:00 15/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [01:25:00 15/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [01:25:00 15/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:25:00 15/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [01:25:00 15/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [01:25:00 15/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:25:00 15/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:25:00 15/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [01:25:00 15/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [01:25:00 15/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [01:25:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [01:25:00 15/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 290 u1: ml/B st: NotStopd t0: [01:25:00 15/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [01:25:00 15/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [01:25:00 15/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [02:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [02:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [02:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [02:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [02:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd
t0: [02:00:00 15/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 15/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [02:00:00 15/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [21:05:00 14/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [21:05:00 14/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [21:05:00 14/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:05:00 14/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [21:05:00 14/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [21:05:00 14/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [21:05:00 14/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Portex st: NotStopd t0: [01:25:00 15/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [01:25:00 15/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [01:25:00 15/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:25:00 15/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [01:25:00 15/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [01:25:00 15/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [01:25:00 15/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Portex st: NotStopd t0: [04:30:00 15/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [04:30:00 15/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [04:30:00 15/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:30:00 15/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 0 u1: lpm st: NotStopd t0: [04:30:00 15/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [04:30:00 15/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:30:00 15/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:30:00 15/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [04:30:00 15/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:30:00 15/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [04:30:00 15/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:30:00 15/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.2 u1: cmH2O st: NotStopd t0: [04:30:00 15/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.7 u1: L/min st: NotStopd t0: [04:30:00 15/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:30:00 15/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:30:00 15/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [04:30:00 15/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [04:30:00 15/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [04:30:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [04:30:00 15/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:30:00 15/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [04:30:00 15/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:30:00 15/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 310 u1: ml/B st: NotStopd t0: [04:30:00 15/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [04:30:00 15/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [04:30:00 15/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [04:30:00 15/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Portex st: NotStopd t0: [04:30:00 15/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [04:30:00 15/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 16 u1: # st: NotStopd t0: [04:30:00 15/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [00:00:00 15/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [02:00:00 15/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 15/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 15/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [02:00:00 15/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 15/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 15/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 15/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [02:00:00 15/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 15/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 15/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [03:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [03:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [03:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [03:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 15/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 15/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 15/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 15/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 15/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 15/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 15/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 15/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 15/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 15/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 15/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 15/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 15/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [04:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 15/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 15/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 15/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 15/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [04:00:00 15/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 15/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 15/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [04:00:00 15/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [04:00:00 15/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [04:00:00 15/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 15/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 15/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 15/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 15/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 15/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 15/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 15/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [04:00:00 15/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 15/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [04:00:00 15/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 15/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 15/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 15/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 15/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 15/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 15/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 15/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 15/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [04:00:00 15/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 15/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 15/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 15/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 15/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 15/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 15/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 15/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 15/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 15/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 15/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 15/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [05:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 15/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [05:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 15/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 15/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [05:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [05:00:00 15/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [05:00:00 15/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [05:00:00 15/12/2008] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 15/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [05:00:00 15/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [05:00:00 15/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [05:00:00 15/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 15/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [05:00:00 15/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 165 vu: ml t0: [05:00:00 15/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [06:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [06:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [06:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:30:00 15/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [06:30:00 15/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [06:00:00 15/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [06:00:00 15/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [06:00:00 15/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 15/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 15/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 15/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 15/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 15/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [06:00:00 15/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 15/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 15/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd
t0: [07:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [07:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [07:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [07:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [07:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [07:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [07:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [07:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 15/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [08:00:00 15/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 15/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 15/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 15/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:00:00 15/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 15/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 15/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 15/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 15/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 15/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 15/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 15/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 15/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [08:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 15/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 15/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 15/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [08:00:00 15/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 15/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 15/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [08:00:00 15/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [08:00:00 15/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [08:00:00 15/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 15/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 15/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 15/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 15/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 15/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 15/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 15/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 15/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 15/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 15/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 15/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [08:00:00 15/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [08:00:00 15/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 15/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 15/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [08:00:00 15/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 15/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 15/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 15/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 15/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 15/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 15/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 15/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 15/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 15/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [08:00:00 15/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 15/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 15/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [08:00:00 15/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 15/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 15/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 15/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 15/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 15/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 15/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [08:00:00 15/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [08:00:00 15/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 15/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 15/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 15/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 15/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 15/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 15/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 15/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 15/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 15/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 15/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 15/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 15/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [08:00:00 15/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [08:49:00 15/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RT v1: 11 v2: 29 st: NotStopd t0: [08:49:00 15/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RT v1: No st: NotStopd t0: [08:49:00 15/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.4 u1: torr st: NotStopd t0: [08:49:00 15/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 30 u1: cmH2O st: NotStopd t0: [08:49:00 15/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [08:49:00 15/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 8.0 mm st: NotStopd t0: [08:49:00 15/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Tracheostomy st: NotStopd t0: [08:49:00 15/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT v1: 33 u1: Deg. C st: NotStopd t0: [08:49:00 15/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 3 st: NotStopd t0: [08:49:00 15/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [08:49:00 15/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT st: NotStopd t0: [08:49:00 15/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 7.3 u1: cmH2O st: NotStopd t0: [08:49:00 15/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 6.4 u1: L/min st: NotStopd t0: [08:49:00 15/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [08:49:00 15/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [08:49:00 15/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RT v1: 2 u1: . st: NotStopd t0: [08:49:00 15/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [08:49:00 15/12/2008] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 1 u1: cmH2O st: NotStopd t0: [08:49:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 100 u1: % st: NotStopd t0: [08:49:00 15/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [08:49:00 15/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RT v1: 300 u1: ml/B st: NotStopd t0: [08:49:00 15/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RT v1: Yes v2: No st: NotStopd t0: [08:49:00 15/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RT v1: #8 st: NotStopd t0: [08:49:00 15/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RT v1: Inflated st: NotStopd t0: [08:49:00 15/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RT v1: Portex st: NotStopd t0: [08:49:00 15/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: CPAP+PS st: NotStopd t0: [08:49:00 15/12/2008] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 16 u1: # st: NotStopd t0: [08:49:00 15/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd
t0: [09:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [09:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [09:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [09:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [09:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 15/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.2 u1: % rs: Final st: NotStopd t0: [05:00:00 15/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.9 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 15/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 598 rs: Final st: NotStopd t0: [05:00:00 15/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.8 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 15/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.6 rs: Final st: NotStopd
t0: [10:00:00 15/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 15/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [10:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [10:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 15/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [10:00:00 15/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 15/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 15/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [10:00:00 15/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 15/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 15/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 15/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [10:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 15/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [10:00:00 15/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [10:00:00 15/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [10:00:00 15/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.5 u1: torr st: NotStopd t0: [10:00:00 15/12/2008] id: O2 Delivery Device el: 0 cu: MICU-A cg: RT v1: Trach Mask st: NotStopd t0: [10:00:00 15/12/2008] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RT v1: 12 u1: lpm st: NotStopd
t0: [05:00:00 15/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [05:00:00 15/12/2008] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 15/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:00:00 15/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [05:00:00 15/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:00:00 15/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd t0: [05:00:00 15/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:00:00 15/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [05:00:00 15/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [11:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [11:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [11:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [11:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [11:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [11:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 15/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml
t0: [11:00:00 15/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RT v1: Yellow v2: Thick st: NotStopd t0: [11:00:00 15/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RT v1: Suctioned v2: Small st: NotStopd
t0: [11:00:00 15/12/2008] id: Significant Events el: 0 cu: MICU-A cg: RN st: NotStopd
t0: [11:30:00 15/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [12:00:00 15/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 15/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [12:00:00 15/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 15/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 15/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 15/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [12:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:00:00 15/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 15/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 15/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 15/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 15/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 15/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 15/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 15/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 15/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [12:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 15/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 15/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 15/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 15/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [12:00:00 15/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 15/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 15/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 15/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [12:00:00 15/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [12:00:00 15/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [12:00:00 15/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [12:00:00 15/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 15/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 15/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 15/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 15/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 15/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 15/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 15/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 15/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 15/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 15/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 15/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 15/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [12:00:00 15/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [12:00:00 15/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 15/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 15/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [12:00:00 15/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 15/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 15/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 15/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 15/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 15/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 15/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 15/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 15/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 15/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 15/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 15/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 15/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [12:00:00 15/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 15/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 15/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 15/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 15/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 15/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 15/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 15/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [12:00:00 15/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 15/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 15/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 15/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [12:00:00 15/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 117 rs: Manual st: NotStopd t0: [12:00:00 15/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 15/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [12:00:00 15/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [12:00:00 15/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [12:00:00 15/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml
t0: [13:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [13:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [13:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [13:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [13:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 15/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 15/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:00:00 15/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [14:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 15/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 15/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [14:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [14:00:00 15/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 15/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 15/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [14:00:00 15/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 15/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 15/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [14:00:00 15/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 15/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 15/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 15/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [14:00:00 15/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [14:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 15/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [13:00:00 15/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [14:00:00 15/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [14:00:00 15/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [14:00:00 15/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 15/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [15:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [15:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [15:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [15:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [15:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 15/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 15/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [16:00:00 15/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 15/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 15/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 15/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 15/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 15/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 15/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 15/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 15/12/2008] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 15/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 15/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 15/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 15/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [16:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 15/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 15/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 15/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 15/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [16:00:00 15/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 15/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 15/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [16:00:00 15/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [16:00:00 15/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [16:00:00 15/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [16:00:00 15/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 15/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 15/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 15/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 15/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 15/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 15/12/2008] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Trach Mask st: NotStopd t0: [16:00:00 15/12/2008] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 12 u1: lpm st: NotStopd t0: [16:00:00 15/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 15/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [16:00:00 15/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [16:00:00 15/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [16:00:00 15/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 15/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 15/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 15/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [16:00:00 15/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 15/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 15/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 15/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 15/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 15/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [16:00:00 15/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 15/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 15/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Asleep, Brisk st: NotStopd t0: [16:00:00 15/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 15/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 15/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 15/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 15/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:00:00 15/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 15/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [16:00:00 15/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [16:00:00 15/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 15/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 15/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 15/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:00:00 15/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 15/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [16:00:00 15/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 260 vu: ml
t0: [17:00:00 15/12/2008] id: CVP el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [17:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 15/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [17:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 15/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 15/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 15/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [17:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [17:00:00 15/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [17:00:00 15/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [17:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 15/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 15/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 15/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 15/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 15/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:39:00 15/12/2008] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [17:39:00 15/12/2008] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [17:39:00 15/12/2008] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [17:39:00 15/12/2008] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 109 u1: mmHg rs: Final st: NotStopd t0: [17:39:00 15/12/2008] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [17:39:00 15/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 119 rs: Final st: NotStopd t0: [17:39:00 15/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.16 rs: Final st: NotStopd
t0: [18:00:00 15/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 15/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [18:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [18:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [18:00:00 15/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [18:00:00 15/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 15/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 15/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [18:00:00 15/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 15/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 15/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 15/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [18:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 15/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [16:00:00 15/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [18:00:00 15/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [18:00:00 15/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [20:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 119 u1: BPM st: NotStopd t0: [20:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 143 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [20:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [20:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 60 u1: kg st: NotStopd t0: [20:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [20:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [20:00:00 15/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [20:00:00 15/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.2222 u1: Deg. C st: NotStopd t0: [20:00:00 15/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99 u1: Deg. F st: NotStopd t0: [20:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 15/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 200 vu: ml
t0: [20:00:00 15/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 15/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 15/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 15/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 15/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 15/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 15/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 15/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 15/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 15/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 15/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 15/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 15/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 15/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 15/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 15/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [20:00:00 15/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 15/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 15/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [20:00:00 15/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [20:00:00 15/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [20:00:00 15/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [20:00:00 15/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 15/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: Drainage st: NotStopd t0: [20:00:00 15/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: Drainage st: NotStopd t0: [20:00:00 15/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 15/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 15/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 15/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 15/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 15/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 15/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 15/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 15/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 15/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 15/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 15/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 15/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 15/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 15/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 2 mm st: NotStopd t0: [20:00:00 15/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 15/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 15/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 15/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 15/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 15/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 15/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 15/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [20:00:00 15/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 15/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 15/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 15/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 15/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 15/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 15/12/2008] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [20:00:00 15/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 15/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 15/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 15/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 15/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 15/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 15/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [21:00:00 15/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [21:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 115 u1: BPM st: NotStopd t0: [21:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [21:00:00 15/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [21:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [21:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [21:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 15/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [21:00:00 15/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 15/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [21:00:00 15/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [21:00:00 15/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [21:00:00 15/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [21:00:00 15/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium
t0: [23:00:00 15/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 200 ap: none t0: [23:00:00 15/12/2008] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [22:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [22:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [22:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [22:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [22:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [22:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 15/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml st: Restart t0: [22:00:00 15/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [22:00:00 15/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 15/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [22:00:00 15/12/2008] id: IV #1 D/C Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 3 st: NotStopd t0: [22:00:00 15/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [22:00:00 15/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [22:00:00 15/12/2008] id: IV #2 D/C Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 3 st: NotStopd t0: [22:00:00 15/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 2 st: NotStopd t0: [22:00:00 15/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [22:00:00 15/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 3 st: NotStopd t0: [22:00:00 15/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 22 gauge st: NotStopd t0: [22:00:00 15/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: Drainage st: NotStopd t0: [22:00:00 15/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: Drainage st: NotStopd t0: [22:00:00 15/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd
t0: [23:00:00 15/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [23:00:00 15/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [23:00:00 15/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [23:00:00 15/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 5 u1: lpm st: NotStopd t0: [23:00:00 15/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [23:00:00 15/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [23:00:00 15/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [23:00:00 15/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [23:00:00 15/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [23:00:00 15/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [23:00:00 15/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [23:00:00 15/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [23:00:00 15/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [23:00:00 15/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.4 u1: cmH2O st: NotStopd t0: [23:00:00 15/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.2 u1: L/min st: NotStopd t0: [23:00:00 15/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [23:00:00 15/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [23:00:00 15/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [23:00:00 15/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [23:00:00 15/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [23:00:00 15/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [23:00:00 15/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [23:00:00 15/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 15/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 250 u1: ml/B st: NotStopd t0: [23:00:00 15/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [23:00:00 15/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [23:00:00 15/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [23:00:00 15/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Portex st: NotStopd t0: [23:00:00 15/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [23:00:00 15/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [00:00:00 16/12/2008] id: IV #1 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [00:00:00 16/12/2008] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [00:00:00 16/12/2008] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [00:00:00 16/12/2008] id: IV #2 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [00:00:00 16/12/2008] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [00:00:00 16/12/2008] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [00:00:00 16/12/2008] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [00:00:00 16/12/2008] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [22:00:00 15/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 15/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 15/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 15/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 15/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 15/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [22:00:00 15/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 15/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [22:00:00 15/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 15/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 15/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [22:00:00 15/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 15/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 15/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 15/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [23:00:00 15/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 15/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [23:00:00 15/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 15/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [23:00:00 15/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 15/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [23:00:00 15/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg st: NotStopd t0: [23:00:00 15/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 15/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [23:00:00 15/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 15/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 16/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 16/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 16/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 16/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 16/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [00:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 16/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 16/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 16/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 16/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 16/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 16/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 16/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [00:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 16/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 16/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 16/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 16/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [00:00:00 16/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 16/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 16/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 3 st: NotStopd t0: [00:00:00 16/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 22 gauge st: NotStopd t0: [00:00:00 16/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 16/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 16/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 16/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 16/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 16/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 16/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 16/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 16/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [00:00:00 16/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [00:00:00 16/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 16/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 16/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [00:00:00 16/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [00:00:00 16/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 2 mm st: NotStopd t0: [00:00:00 16/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 16/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 16/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 16/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 16/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 16/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 16/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 16/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 16/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 16/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 16/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 16/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 16/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 16/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 16/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 16/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [00:00:00 16/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [00:00:00 16/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 16/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 16/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 16/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 16/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 16/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 16/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 16/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 16/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 16/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 16/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 16/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [01:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [01:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [01:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [01:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [01:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 16/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [00:00:00 16/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [00:00:00 16/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large t0: [00:00:00 16/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [23:00:00 16/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 pv: 50 cv: 50 ap: none t0: [23:00:00 16/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: 5 cv: 5 ap: none t0: [23:00:00 16/12/2008] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 55 cv: 1720 ap: none t0: [23:00:00 16/12/2008] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 95 ap: none t0: [23:00:00 16/12/2008] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward t0: [23:00:00 16/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 pv: 55 cv: 1375 ap: none t0: [23:00:00 16/12/2008] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 pv: 50 cv: 1785 ap: none t0: [23:00:00 16/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 5 cv: -65 ap: carryForward t0: [23:00:00 16/12/2008] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 pv: 50 cv: 1785 ap: carryForward t0: [23:00:00 16/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 5 cv: 11499.7 ap: carryForward
t0: [00:00:00 16/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 138 rs: Manual st: NotStopd
t0: [02:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [02:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [02:00:00 16/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [02:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 16/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 16/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [02:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [02:00:00 16/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [02:00:00 16/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [02:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 16/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 16/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [02:00:00 16/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 16/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [02:00:00 16/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large t0: [02:00:00 16/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [01:00:00 16/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [01:00:00 16/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [02:00:00 16/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [02:00:00 16/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [03:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [03:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [03:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [03:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [03:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 16/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [03:00:00 16/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 16/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml
t0: [04:00:00 16/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: RRT v1: 11 v2: 29 st: NotStopd t0: [04:00:00 16/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [04:00:00 16/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 16/12/2008] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 5 u1: lpm st: NotStopd t0: [04:00:00 16/12/2008] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 16/12/2008] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 16/12/2008] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 16/12/2008] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 16/12/2008] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 16/12/2008] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:00:00 16/12/2008] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [04:00:00 16/12/2008] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 16/12/2008] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:00:00 16/12/2008] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [04:00:00 16/12/2008] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.8 u1: L/min st: NotStopd t0: [04:00:00 16/12/2008] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 16/12/2008] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [04:00:00 16/12/2008] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 16/12/2008] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [04:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 16/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:00:00 16/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 16/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 16/12/2008] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 280 u1: ml/B st: NotStopd t0: [04:00:00 16/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 16/12/2008] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [04:00:00 16/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 16/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Portex st: NotStopd t0: [04:00:00 16/12/2008] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 16/12/2008] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [02:00:00 16/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 16/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 16/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 16/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 16/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 16/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [02:00:00 16/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 16/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 16/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 16/12/2008] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 16/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 16/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [04:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [04:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 16/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 16/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [04:00:00 16/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 16/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 3 st: NotStopd t0: [04:00:00 16/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 16/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [04:00:00 16/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [04:00:00 16/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [04:00:00 16/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 16/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [04:00:00 16/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [04:00:00 16/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 16/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 16/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [05:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [05:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [05:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [05:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [05:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 16/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [05:00:00 16/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [04:00:00 16/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 16/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 16/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 16/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 16/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 16/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 16/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 16/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 16/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 16/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 16/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 16/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 16/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 16/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 16/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 16/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 16/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 16/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 16/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 16/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 16/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 16/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 16/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 16/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 16/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 16/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 16/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 16/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 16/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 16/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [04:00:00 16/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [04:00:00 16/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 16/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 16/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [05:00:00 16/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 16/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 16/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 16/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 16/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [05:00:00 16/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 16/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 16/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [05:00:00 16/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [05:00:00 16/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium
t0: [04:30:00 16/12/2008] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.4 u1: % rs: Final st: NotStopd t0: [04:30:00 16/12/2008] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 16/12/2008] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 626 rs: Final st: NotStopd t0: [04:30:00 16/12/2008] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.94 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 16/12/2008] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.8 rs: Final st: NotStopd
t0: [06:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [06:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [06:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [06:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [06:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [06:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 16/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml
t0: [04:30:00 16/12/2008] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:30:00 16/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [04:30:00 16/12/2008] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 16/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [04:30:00 16/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [04:30:00 16/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [04:30:00 16/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 130 rs: Final st: NotStopd t0: [04:30:00 16/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [04:30:00 16/12/2008] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 16/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [04:30:00 16/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [04:00:00 16/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [06:00:00 16/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [06:00:00 16/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 111 rs: Manual st: NotStopd
t0: [06:00:00 16/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [08:00:00 16/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 16/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 16/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 16/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 16/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [08:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 16/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 16/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 16/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 16/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 16/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 16/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Absent st: NotStopd t0: [08:00:00 16/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 79 u1: BPM st: NotStopd t0: [08:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 16/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 16/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 16/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 16/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 29 st: NotStopd t0: [08:00:00 16/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 16/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Firm Distended st: NotStopd t0: [08:00:00 16/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 16/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 12 v2: 3 st: NotStopd t0: [08:00:00 16/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: LU Ant Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 16/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 16/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 16/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 16/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 16/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 16/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [08:00:00 16/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 16/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 16/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 16/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 16/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 16/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 16/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 16/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 16/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 60 u1: kg st: NotStopd t0: [08:00:00 16/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 16/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 3 mm st: NotStopd t0: [08:00:00 16/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 16/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 16/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Normal Strength st: NotStopd t0: [08:00:00 16/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 16/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 16/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 16/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:00:00 16/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 16/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [08:00:00 16/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 16/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 16/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 16/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 16/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [08:00:00 16/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 16/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 16/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.5 u1: Deg. C st: NotStopd t0: [08:00:00 16/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.7 u1: Deg. F st: NotStopd t0: [08:00:00 16/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 16/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 16/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd t0: [08:00:00 16/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [08:00:00 16/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 107 vo: 35 vu: ml t0: [08:00:00 16/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 110 vu: ml t0: [08:00:00 16/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 180 vu: ml
t0: [08:30:00 16/12/2008] id: Trach Insert Date el: 0 cu: MICU-A cg: -1 v1: 11 v2: 29 st: NotStopd t0: [08:30:00 16/12/2008] id: Cuff Leak el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:30:00 16/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:30:00 16/12/2008] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [08:30:00 16/12/2008] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Tracheostomy st: NotStopd t0: [08:30:00 16/12/2008] id: O2 Delivery Device el: 0 cu: MICU-A cg: -1 v1: Trach Mask st: NotStopd t0: [08:30:00 16/12/2008] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: -1 v1: 15 u1: lpm st: NotStopd t0: [08:30:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [08:30:00 16/12/2008] id: Spare Trach Present el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:30:00 16/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Clear v2: Thin st: NotStopd t0: [08:30:00 16/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [08:30:00 16/12/2008] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: -1 v1: Yes v2: No st: NotStopd t0: [08:30:00 16/12/2008] id: Trach Size el: 0 cu: MICU-A cg: -1 v1: #8 st: NotStopd t0: [08:30:00 16/12/2008] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: -1 v1: Inflated st: NotStopd t0: [08:30:00 16/12/2008] id: Tracheostomy Type el: 0 cu: MICU-A cg: -1 v1: Portex st: NotStopd
t0: [10:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [10:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 16/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [10:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 93 u1: BPM st: NotStopd t0: [10:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 16/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 16/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 130 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [10:00:00 16/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 16/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 60 u1: kg st: NotStopd t0: [10:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [10:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [10:00:00 16/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [10:00:00 16/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [10:00:00 16/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 16/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 110 vu: ml t0: [10:00:00 16/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 160 vu: ml
t0: [08:00:00 16/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 16/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 16/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 16/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 16/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 16/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [12:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 16/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 16/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 16/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 16/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 16/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 16/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 16/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 16/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 100 u1: BPM st: NotStopd t0: [12:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 16/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 16/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 16/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 16/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 29 st: NotStopd t0: [12:00:00 16/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 16/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Firm Distended st: NotStopd t0: [12:00:00 16/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 16/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 12 v2: 3 st: NotStopd t0: [12:00:00 16/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: LU Ant Forearm v2: 22 gauge st: NotStopd t0: [12:00:00 16/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 16/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 16/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 16/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 16/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 16/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [12:00:00 16/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 16/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 16/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 16/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 16/12/2008] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 16/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 16/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [12:00:00 16/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 16/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 16/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 60 u1: kg st: NotStopd t0: [12:00:00 16/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 16/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 3 mm st: NotStopd t0: [12:00:00 16/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 16/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 16/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Normal Strength st: NotStopd t0: [12:00:00 16/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 16/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 16/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 16/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 16/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 16/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [12:00:00 16/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 16/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 16/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 16/12/2008] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 16/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 16/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [12:00:00 16/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 16/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 16/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [12:00:00 16/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [12:00:00 16/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 16/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [12:00:00 16/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 16/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 16/12/2008] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 16/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd t0: [12:00:00 16/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [12:00:00 16/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 110 vu: ml t0: [12:00:00 16/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 180 vu: ml
t0: [12:00:00 16/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml
t0: [16:00:00 16/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 16/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 16/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 16/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 16/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [16:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 16/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 16/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 16/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 16/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 16/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 16/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 16/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [16:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 16/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 16/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 16/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 16/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 16/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 16/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 16/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 16/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 16/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 16/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 16/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 16/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [16:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg st: NotStopd t0: [16:00:00 16/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 16/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 16/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [16:00:00 16/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 16/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [16:00:00 16/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 16/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 16/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 16/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 16/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 16/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 16/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 16/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 16/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [16:00:00 16/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 16/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 16/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 16/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 16/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 16/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 16/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 16/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 16/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 16/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 16/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 16/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:00:00 16/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 16/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 220 vu: ml t0: [16:00:00 16/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [17:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [17:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [17:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [17:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [17:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 60 u1: kg st: NotStopd t0: [17:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 16/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 16/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 16/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 16/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [18:00:00 16/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 16/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd
t0: [18:00:00 16/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [18:00:00 16/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 320 vu: ml
t0: [18:00:00 16/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 116 rs: Manual st: NotStopd
t0: [20:00:00 16/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 16/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 16/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 16/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [20:00:00 16/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [20:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [20:00:00 16/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 16/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 16/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 16/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 16/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 16/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [20:00:00 16/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [20:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 96 u1: BPM st: NotStopd t0: [20:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 16/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 16/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 16/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 29 st: NotStopd t0: [20:00:00 16/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 16/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Firm Distended st: NotStopd t0: [20:00:00 16/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 16/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 12 v2: 3 st: NotStopd t0: [20:00:00 16/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: LU Ant Forearm v2: 22 gauge st: NotStopd t0: [20:00:00 16/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 16/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 16/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 16/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 16/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Rhonchi st: NotStopd t0: [20:00:00 16/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [20:00:00 16/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Rhonchi st: NotStopd t0: [20:00:00 16/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [20:00:00 16/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 16/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 16/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 16/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [20:00:00 16/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 16/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 16/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 60 u1: kg st: NotStopd t0: [20:00:00 16/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 16/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 3 mm st: NotStopd t0: [20:00:00 16/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Normal Strength st: NotStopd t0: [20:00:00 16/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Rhonchi st: NotStopd t0: [20:00:00 16/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Normal Strength st: NotStopd t0: [20:00:00 16/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Rhonchi st: NotStopd t0: [20:00:00 16/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 16/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 16/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [20:00:00 16/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 16/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [20:00:00 16/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 16/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 16/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 16/12/2008] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 16/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [20:00:00 16/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 16/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [20:00:00 16/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 16/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [20:00:00 16/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [20:00:00 16/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 16/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 16/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 16/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 16/12/2008] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 16/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [20:00:00 16/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [20:00:00 16/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [20:00:00 16/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 110 vu: ml t0: [20:00:00 16/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 140 vu: ml
t0: [20:00:00 16/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml
t0: [23:00:00 16/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 cv: 250 ap: none
t0: [21:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [21:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [21:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 103 u1: BPM st: NotStopd t0: [21:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 144 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [21:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg st: NotStopd t0: [21:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 60 u1: kg st: NotStopd t0: [21:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [21:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 16/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [21:00:00 16/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [22:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [22:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [22:00:00 16/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [22:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 99 u1: BPM st: NotStopd t0: [22:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 16/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 16/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 143 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [22:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [22:00:00 16/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [22:00:00 16/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 60 u1: kg st: NotStopd t0: [22:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [22:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [22:00:00 16/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [22:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 16/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [22:00:00 16/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [23:00:00 16/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 16/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [23:00:00 16/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [23:00:00 16/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 117 u1: BPM st: NotStopd t0: [23:00:00 16/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 16/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 146 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [23:00:00 16/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [23:00:00 16/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 16/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 60 u1: kg st: NotStopd t0: [23:00:00 16/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [23:00:00 16/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 16/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [23:00:00 16/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [23:00:00 16/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 16/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [23:00:00 16/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [00:00:00 17/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 17/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 17/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 17/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 17/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [00:00:00 17/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 17/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [00:00:00 17/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [00:00:00 17/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 17/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 17/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 17/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 17/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 17/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [00:00:00 17/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [00:00:00 17/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 124 u1: BPM st: NotStopd t0: [00:00:00 17/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 17/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 17/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 17/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 29 st: NotStopd t0: [00:00:00 17/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 17/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Firm Distended st: NotStopd t0: [00:00:00 17/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 17/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 12 v2: 3 st: NotStopd t0: [00:00:00 17/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: LU Ant Forearm v2: 22 gauge st: NotStopd t0: [00:00:00 17/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 17/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 17/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 17/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [00:00:00 17/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Rhonchi st: NotStopd t0: [00:00:00 17/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [00:00:00 17/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Rhonchi st: NotStopd t0: [00:00:00 17/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [00:00:00 17/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 17/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 17/12/2008] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 17/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 17/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 144 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [00:00:00 17/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [00:00:00 17/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 17/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 17/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 17/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 17/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 60 u1: kg st: NotStopd t0: [00:00:00 17/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 17/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 3 mm st: NotStopd t0: [00:00:00 17/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Normal Strength st: NotStopd t0: [00:00:00 17/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Rhonchi st: NotStopd t0: [00:00:00 17/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Normal Strength st: NotStopd t0: [00:00:00 17/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Rhonchi st: NotStopd t0: [00:00:00 17/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 17/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 17/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 17/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [00:00:00 17/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 17/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [00:00:00 17/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 17/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 17/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 17/12/2008] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 17/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [00:00:00 17/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [00:00:00 17/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [00:00:00 17/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 17/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [00:00:00 17/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [00:00:00 17/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.2 u1: Deg. F st: NotStopd t0: [00:00:00 17/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 17/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 17/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 17/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 17/12/2008] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 17/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 17/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [00:00:00 17/12/2008] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 135 rs: Manual st: NotStopd t0: [00:00:00 17/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [00:00:00 17/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 17/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 17/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [00:00:00 17/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [00:00:00 17/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Adequate st: NotStopd t0: [00:00:00 17/12/2008] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [00:00:00 17/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [00:00:00 17/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml nb: 1 t0: [00:00:00 17/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [00:00:00 17/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: -1 vu: ml es: Small
t0: [23:00:00 17/12/2008] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [01:00:00 17/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 17/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 17/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 17/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 101 u1: BPM st: NotStopd t0: [01:00:00 17/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 17/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [01:00:00 17/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [01:00:00 17/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 17/12/2008] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 60 u1: kg st: NotStopd t0: [01:00:00 17/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [01:00:00 17/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 17/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 17/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [01:00:00 17/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [02:00:00 17/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 17/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [02:00:00 17/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [02:00:00 17/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [02:00:00 17/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 102 u1: BPM st: NotStopd t0: [02:00:00 17/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 17/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 17/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 17/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 136 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [02:00:00 17/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [02:00:00 17/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [02:00:00 17/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 17/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 17/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [02:00:00 17/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 17/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [02:00:00 17/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 17/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [02:00:00 17/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [03:00:00 17/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 17/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [03:00:00 17/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [03:00:00 17/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 129 u1: BPM st: NotStopd t0: [03:00:00 17/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 17/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 149 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [03:00:00 17/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg st: NotStopd t0: [03:00:00 17/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 17/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [03:00:00 17/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 17/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 17/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [03:00:00 17/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [03:00:00 17/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [03:00:00 17/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 17/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 17/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 17/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 17/12/2008] id: Communication el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 17/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [04:00:00 17/12/2008] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 17/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [04:00:00 17/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [04:00:00 17/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 17/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 17/12/2008] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 17/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 17/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 17/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [04:00:00 17/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 104 u1: BPM st: NotStopd t0: [04:00:00 17/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 17/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 17/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 17/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 11 v2: 29 st: NotStopd t0: [04:00:00 17/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 17/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Firm Distended st: NotStopd t0: [04:00:00 17/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 17/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 12 v2: 3 st: NotStopd t0: [04:00:00 17/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: LU Ant Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 17/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 17/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [04:00:00 17/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Exp Wheeze st: NotStopd t0: [04:00:00 17/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: No Movement st: NotStopd t0: [04:00:00 17/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Rhonchi st: NotStopd t0: [04:00:00 17/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [04:00:00 17/12/2008] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 17/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 17/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 17/12/2008] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 17/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 144 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [04:00:00 17/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [04:00:00 17/12/2008] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 17/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 17/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 17/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: -1 v1: 2 mm v2: 3 mm st: NotStopd t0: [04:00:00 17/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Normal Strength st: NotStopd t0: [04:00:00 17/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Exp Wheeze st: NotStopd t0: [04:00:00 17/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: -1 v1: Normal Strength st: NotStopd t0: [04:00:00 17/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Rhonchi st: NotStopd t0: [04:00:00 17/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 17/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 17/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 17/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [04:00:00 17/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 17/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Right Arm st: NotStopd t0: [04:00:00 17/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 17/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 17/12/2008] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 17/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 17/12/2008] id: Speech el: 0 cu: MICU-A cg: -1 v1: Intubated/trach st: NotStopd t0: [04:00:00 17/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 17/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [04:00:00 17/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [04:00:00 17/12/2008] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [04:00:00 17/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 17/12/2008] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 17/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 17/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 17/12/2008] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd t0: [04:00:00 17/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [04:00:00 17/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [04:00:00 17/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [05:00:00 17/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 17/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [05:00:00 17/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [05:00:00 17/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 102 u1: BPM st: NotStopd t0: [05:00:00 17/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 17/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 149 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [05:00:00 17/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg st: NotStopd t0: [05:00:00 17/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 17/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [05:00:00 17/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 17/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 17/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [05:00:00 17/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [04:59:00 17/12/2008] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.12 rs: Final st: NotStopd
t0: [04:00:00 17/12/2008] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [04:00:00 17/12/2008] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [04:00:00 17/12/2008] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [04:00:00 17/12/2008] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [04:00:00 17/12/2008] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [04:00:00 17/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 123 rs: Final st: NotStopd t0: [04:00:00 17/12/2008] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [04:00:00 17/12/2008] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [04:00:00 17/12/2008] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [05:00:00 17/12/2008] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [05:00:00 17/12/2008] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [05:00:00 17/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [05:00:00 17/12/2008] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [05:00:00 17/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [05:00:00 17/12/2008] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [05:00:00 17/12/2008] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [05:00:00 17/12/2008] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [06:00:00 17/12/2008] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 17/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [06:00:00 17/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [06:00:00 17/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 107 u1: BPM st: NotStopd t0: [06:00:00 17/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 17/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 133 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [06:00:00 17/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [06:00:00 17/12/2008] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 17/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [06:00:00 17/12/2008] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [06:00:00 17/12/2008] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 17/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 115 vo: 55 vu: ml t0: [06:00:00 17/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: -1 vu: ml es: Medium t0: [06:00:00 17/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [06:00:00 17/12/2008] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: -1 v1: 120 rs: Manual st: NotStopd
t0: [07:00:00 17/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 17/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [07:00:00 17/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [07:00:00 17/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [07:00:00 17/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 17/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [07:00:00 17/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [07:00:00 17/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 17/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 17/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 17/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 17/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 17/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Asleep, Sluggish st: NotStopd t0: [08:00:00 17/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 17/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 17/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 17/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 17/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 17/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 17/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:00:00 17/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 17/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.35 u1: torr st: NotStopd t0: [08:00:00 17/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 17/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 17/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 17/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 17/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 17/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 17/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 120 u1: BPM st: NotStopd t0: [08:00:00 17/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 17/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 17/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 17/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [08:00:00 17/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 17/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 17/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 3 st: NotStopd t0: [08:00:00 17/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 17/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 17/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 17/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 17/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 17/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 17/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 17/12/2008] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Trach Mask st: NotStopd t0: [08:00:00 17/12/2008] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [08:00:00 17/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [08:00:00 17/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 17/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [08:00:00 17/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 17/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [08:00:00 17/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 17/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 17/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 17/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 17/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 17/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 17/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 17/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 17/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 17/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 17/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 17/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 17/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [08:00:00 17/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 17/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 17/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Asleep, Sluggish st: NotStopd t0: [08:00:00 17/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 17/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 17/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 17/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 17/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 17/12/2008] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Loose st: NotStopd t0: [08:00:00 17/12/2008] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 17/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 17/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 17/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 17/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 17/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 17/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 17/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 17/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 17/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 17/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 17/12/2008] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 17/12/2008] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 17/12/2008] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 17/12/2008] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 17/12/2008] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 17/12/2008] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 17/12/2008] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [09:00:00 17/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 17/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 17/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 17/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 17/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [09:00:00 17/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 17/12/2008] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 17/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 17/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [08:00:00 17/12/2008] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 17/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 17/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 110 vu: ml t0: [08:00:00 17/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium t0: [08:00:00 17/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 240 vu: ml
t0: [09:00:00 17/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 17/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:00:00 17/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:00:00 17/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 113 u1: BPM st: NotStopd t0: [09:00:00 17/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 17/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [09:00:00 17/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [09:00:00 17/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 17/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 17/12/2008] id: Significant Events el: 0 cu: MICU-A cg: RN st: NotStopd t0: [09:00:00 17/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 17/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 17/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 17/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 17/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 17/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:00:00 17/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 17/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [10:00:00 17/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 17/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [10:00:00 17/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [10:00:00 17/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 17/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 17/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 17/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 17/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 17/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [10:00:00 17/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 17/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 17/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 17/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 17/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [10:00:00 17/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 17/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [11:00:00 17/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 17/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [11:00:00 17/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:00:00 17/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [11:00:00 17/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 17/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [11:00:00 17/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [11:00:00 17/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 17/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 17/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 17/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 17/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 165 vu: ml t0: [11:00:00 17/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 320 vu: ml
t0: [12:00:00 17/12/2008] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 17/12/2008] id: Ramsey SedationScale el: 0 cu: MICU-A cg: RN v1: Asleep, Sluggish st: NotStopd t0: [12:00:00 17/12/2008] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 17/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 17/12/2008] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 17/12/2008] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 17/12/2008] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 17/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [12:00:00 17/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:00:00 17/12/2008] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 17/12/2008] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.35 u1: torr st: NotStopd t0: [12:00:00 17/12/2008] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 17/12/2008] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 17/12/2008] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 17/12/2008] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 17/12/2008] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 17/12/2008] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 17/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [12:00:00 17/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 17/12/2008] id: Height of Bed el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 17/12/2008] id: INV Line#1 D/C Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 5 st: NotStopd t0: [12:00:00 17/12/2008] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 17/12/2008] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 17/12/2008] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 11 v2: 29 st: NotStopd t0: [12:00:00 17/12/2008] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 17/12/2008] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 17/12/2008] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 17/12/2008] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 12 v2: 3 st: NotStopd t0: [12:00:00 17/12/2008] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 22 gauge st: NotStopd t0: [12:00:00 17/12/2008] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 17/12/2008] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 17/12/2008] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 17/12/2008] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 17/12/2008] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 17/12/2008] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 17/12/2008] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 17/12/2008] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 17/12/2008] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Trach Mask st: NotStopd t0: [12:00:00 17/12/2008] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [12:00:00 17/12/2008] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [12:00:00 17/12/2008] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 17/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [12:00:00 17/12/2008] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 17/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [12:00:00 17/12/2008] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 17/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 17/12/2008] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 17/12/2008] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 17/12/2008] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 17/12/2008] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 17/12/2008] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 17/12/2008] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 17/12/2008] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 17/12/2008] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 17/12/2008] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 17/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 17/12/2008] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 17/12/2008] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 17/12/2008] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 17/12/2008] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 17/12/2008] id: Sedation Score el: 0 cu: MICU-A cg: RN v1: Asleep, Sluggish st: NotStopd t0: [12:00:00 17/12/2008] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 17/12/2008] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 17/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 17/12/2008] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 17/12/2008] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 17/12/2008] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Formed st: NotStopd t0: [12:00:00 17/12/2008] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 17/12/2008] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 17/12/2008] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [12:00:00 17/12/2008] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [12:00:00 17/12/2008] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 17/12/2008] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 17/12/2008] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 17/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 17/12/2008] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [12:00:00 17/12/2008] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 17/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [12:00:00 17/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [12:00:00 17/12/2008] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [12:00:00 17/12/2008] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml
t0: [23:00:00 17/12/2008] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: RN cv: 50 ap: none t0: [23:00:00 17/12/2008] dt: 24 id: PO/Gastric In Total el: 2 cu: -1 cg: RN cv: 90 ap: none
t0: [13:00:00 17/12/2008] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 17/12/2008] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 17/12/2008] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 17/12/2008] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [13:00:00 17/12/2008] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [13:00:00 17/12/2008] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 17/12/2008] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [13:00:00 17/12/2008] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [13:00:00 17/12/2008] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium
t0: [13:00:00 17/12/2008] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 17/12/2008] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:00:00 17/12/2008] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:00:00 17/12/2008] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [13:00:00 17/12/2008] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 17/12/2008] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 17/12/2008] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [13:00:00 17/12/2008] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 17/12/2008] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 17/12/2008] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 17/12/2008] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [13:00:00 17/12/2008] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [13:00:00 17/12/2008] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 17/12/2008] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 115 vo: 55 vu: ml t0: [13:00:00 17/12/2008] id: Urine Out Foley el: 2 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [23:00:00 17/12/2008] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 17/12/2008] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 17/12/2008] dt: 24 id: 24h Total In el: 2 cu: -1 cg: RN cv: 910 ap: none t0: [23:00:00 17/12/2008] dt: 24 id: Tube Feeds In Total el: 2 cu: -1 cg: RN cv: 770 ap: none t0: [23:00:00 17/12/2008] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: RN cv: 1380 ap: none t0: [23:00:00 17/12/2008] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: RN cv: -470 ap: carryForward t0: [23:00:00 17/12/2008] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: RN cv: 1380 ap: carryForward t0: [23:00:00 17/12/2008] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: RN cv: 11029.7 ap: carryForward