This log is also available as text (s25602.txt) and as a (binary) annotation file (s25602.log).
Generated: Monday, 07-Jun-2010 13:20:45 EDT
(All dates below are surrogates.)
t0: [14:06:23 26/02/2008] tf: [10:16:43 29/02/2008] id: a40154 [view]
t0: [14:01:59 26/02/2008] tf: [10:15:59 06/03/2008] id: a40154n [view]
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 7802 ds: 1 ld: SYNCOPE AND COLLAPSE
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 2 ld: POLYCYTHEMIA VERA dd: 4019 ds: 1 ld: HYPERTENSION NOS
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2304 ds: 2 ld: CA IN SITU RECTUM dd: 4011 ds: 1 ld: BENIGN HYPERTENSION
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2384 ds: 2 ld: POLYCYTHEMIA VERA dd: 2449 ds: 7 ld: HYPOTHYROIDISM NOS dd: 4019 ds: 2 ld: HYPERTENSION NOS dd: 4019 ds: 6 ld: HYPERTENSION NOS dd: 7856 ds: 3 ld: ENLARGEMENT LYMPH NODES dd: 78652 ds: 1 ld: PAINFUL RESPIRATION dd: 78659 ds: 1 ld: CHEST PAIN NEC dd: 7866 ds: 4 ld: CHEST SWELLING/MASS/LUMP dd: 7892 ds: 5 ld: SPLENOMEGALY dd: V1087 ds: 8 ld: HX OF THYROID MALIGNANCY
dd: V7283 ds: 1 ld: OTHER SPEC PRE-OP EXAM
dd: 1629 ds: 4 ld: MAL NEO BRONCH/LUNG NOS dd: 51889 ds: 2 ld: OTHER LUNG DISEASE NEC dd: 7866 ds: 1 ld: CHEST SWELLING/MASS/LUMP dd: V4589 ds: 3 ld: POSTSURGICAL STATES NEC dd: V6700 ds: 5 ld: F/U EXAM POST UNSPEC SRG
dd: 7866 ds: 1 ld: CHEST SWELLING/MASS/LUMP
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 2126 ds: 3 ld: BENIGN NEOPLASM THYMUS dd: 2384 ds: 2 ld: POLYCYTHEMIA VERA dd: 4659 ds: 1 ld: ACUTE URI NOS
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 22809 ds: 3 ld: HEMANGIOMA NEC dd: 51889 ds: 1 ld: OTHER LUNG DISEASE NEC dd: 7866 ds: 2 ld: CHEST SWELLING/MASS/LUMP dd: V149 ds: 4 ld: HX-DRUG ALLERGY NOS
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 1629 ds: 3 ld: MAL NEO BRONCH/LUNG NOS dd: 4359 ds: 7 ld: TRANS CEREB ISCHEMIA NOS dd: 7866 ds: 1 ld: CHEST SWELLING/MASS/LUMP dd: V7189 ds: 6 ld: OBSRV OTH SUSPECT CONDS dd: V7281 ds: 5 ld: PRE-OP CARDIOVASCUL EXAM dd: V7282 ds: 1 ld: PRE-OP RESPIRATORY EXAM dd: V7282 ds: 2 ld: PRE-OP RESPIRATORY EXAM dd: V7283 ds: 4 ld: OTHER SPEC PRE-OP EXAM
dd: V7283 ds: 1 ld: OTHER SPEC PRE-OP EXAM
dd: 4019 ds: 3 ld: HYPERTENSION NOS dd: 43310 ds: 1 ld: OCCL CAROTID W/O INFARCT dd: 4471 ds: 2 ld: STRICTURE OF ARTERY
dd: 2384 ds: 1 ld: POLYCYTHEMIA VERA
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS
dd: 1629 ds: 1 ld: MAL NEO BRONCH/LUNG NOS dd: 2384 ds: 2 ld: POLYCYTHEMIA VERA dd: 7866 ds: 4 ld: CHEST SWELLING/MASS/LUMP dd: V7282 ds: 5 ld: PRE-OP RESPIRATORY EXAM dd: V7283 ds: 3 ld: OTHER SPEC PRE-OP EXAM
dd: 1628 ds: 1 ld: MAL NEO BRONCH/LUNG NEC dd: 2126 ds: 7 ld: BENIGN NEOPLASM THYMUS dd: 42731 ds: 4 ld: ATRIAL FIBRILLATION dd: 42789 ds: 9 ld: CARDIAC DYSRHYTHMIAS NEC dd: 4660 ds: 8 ld: ACUTE BRONCHITIS dd: 47831 ds: 5 ld: VOCAL PARAL UNILAT PART dd: 5185 ds: 2 ld: POST TRAUM PULM INSUFFIC dd: 7488 ds: 6 ld: RESPIRATORY ANOMALY NEC dd: 9971 ds: 3 ld: SURG COMPL-HEART
tf: [22:00:00 09/12/2009] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Hydrochlorothiazide f1: TAB v1: 25 u1: mg tf: [11:00:00 23/12/2009] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Levothyroxine Sodium f1: TAB v1: 175 u1: mcg tf: [15:00:00 01/01/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin f1: TAB v1: 325 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin f1: TAB v1: 325 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Hydrochlorothiazide f1: TAB v1: 25 u1: mg
tf: [18:00:00 08/12/2009] pt: IV Piggyback rt: ED fr: ASDIR dn: 1 m1: Bupivacaine 0.50% f1: INJ v1: 25 u1: ml m2: NS Epidural Bag f2: BAG v2: 225 u2: ml tf: [11:00:00 09/12/2009] pt: IV Piggyback rt: ED fr: ASDIR m1: Bupivacaine 0.50% f1: INJ v1: 25 u1: ml m2: NS Epidural Bag (0.9% NaCl) f2: INJ v2: 225 u2: ml tf: [11:00:00 09/12/2009] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Neb Soln f1: INH v1: 1 u1: NEB tf: [11:00:00 09/12/2009] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Diphenhydramine HCl f1: INJ v1: 12.5-25 u1: mg tf: [11:00:00 09/12/2009] pt: Unit Dose rt: IVPCA fr: ASDIR m1: Hydromorphone PCA f1: SYR v1: 0.12 u1: mg tf: [11:00:00 09/12/2009] pt: Unit Dose rt: PO fr: Q6H:PRN m1: Diphenhydramine HCl f1: CAP v1: 12.5-25 u1: mg tf: [14:00:00 09/12/2009] pt: Unit Dose rt: IH fr: ONCE fs: 19 dn: 1 m1: Albuterol Neb Soln f1: INH v1: 1 u1: NEB tf: [14:00:00 09/12/2009] pt: Unit Dose rt: IV fr: ONCE fs: 19 dn: 1 m1: Magnesium Sulfate f1: INJ v1: 2 u1: gm tf: [22:00:00 09/12/2009] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone-Acetaminophen f1: TAB v1: 1-2 u1: TAB tf: [09:00:00 20/12/2009] pt: Unit Dose rt: SC fr: Q12H fs: 19, 7 dn: 2 m1: Heparin f1: INJ v1: 5000 u1: UNIT tf: [10:00:00 28/12/2009] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Ondansetron f1: INJ v1: 2 u1: mg tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: ED fr: ASDIR m1: Bupivacaine 0.50% f1: INJ v1: 25 u1: ml m2: NS Epidural Bag (0.9% NaCl) f2: INJ v2: 225 u2: ml tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 19 dn: 1 m1: Potassium Chloride f1: BAG v1: 40 u1: mEq m2: SW f2: INJ v2: 100 u2: ml
tf: [22:00:00 09/12/2009] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol f1: TAB v1: 25 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol f1: TAB v1: 25 u1: mg
tf: [10:00:00 09/12/2009] pt: IV Piggyback rt: PB fr: ONCE fs: 2 dn: 1 m1: Amiodarone HCl f1: INJ v1: 150 u1: mg m2: D5W f2: INJ v2: 50 u2: ml tf: [19:00:00 09/12/2009] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Ketorolac f1: INJ v1: 15 u1: mg
tf: [11:00:00 23/12/2009] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Triamterene-Hydrochlorothiazide f1: CAP v1: 1 u1: CAP
tf: [22:00:00 09/12/2009] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Amiodarone HCl f1: INJ v1: 150 u1: mg m2: D5W f2: INJ v2: 50 u2: ml
tf: [10:34:00 18/12/2009] dt: 12777 cu: CSRU de: MICU
t0: [13:37:00 09/12/2009] id: BSA el: 1033 cu: MICU cg: -1 t0: [13:37:00 09/12/2009] id: Admit Wt el: 1032 cu: MICU cg: -1 t0: [13:37:00 09/12/2009] id: Allergy 1 el: 1020 cu: MICU cg: -1 t0: [13:37:00 09/12/2009] id: Diagnosis/op el: 1023 cu: MICU cg: -1 v1: LUNG MASS LEFT/SDA t0: [13:37:00 09/12/2009] id: Service el: 1026 cu: MICU cg: -1 v1: TSU t0: [13:37:00 09/12/2009] id: Admit Ht el: 1034 cu: MICU cg: -1 t0: [13:37:00 09/12/2009] id: Readmission el: 1014 cu: MICU cg: -1 t0: [13:37:00 09/12/2009] id: Marital Status el: 1006 cu: MICU cg: -1 v1: W t0: [13:37:00 09/12/2009] id: Religion el: 1000 cu: MICU cg: -1 v1: JEW t0: [13:37:00 09/12/2009] id: Allergy 2 el: 1021 cu: MICU cg: -1 t0: [13:37:00 09/12/2009] id: Ext el: 1010 cu: MICU cg: -1 t0: [13:37:00 09/12/2009] id: PIN el: 1012 cu: MICU cg: -1 t0: [13:37:00 09/12/2009] id: Allergy 3 el: 1022 cu: MICU cg: -1
id: D5W el: 1 cu: CSRU cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: CSRU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
id: Amiodarone el: 100 cu: CSRU cg: -1 io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions am: 600 du: mgmin rt: IV Drip
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ra: 10 ru: ml/hr
tf: [13:00:00 09/12/2009] pt: IV Piggyback rt: PB fr: ONCE fs: 13 dn: 1 m1: Amiodarone HCl f1: INJ v1: 600 u1: mg m2: D5W (EXCEL BAG) f2: INJ v2: 250 u2: ml
id: D5W el: 1 cu: CSRU cg: -1 io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: CSRU cg: -1 io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: Po Intake el: 2 cu: CSRU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
t0: [13:30:00 09/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:30:00 09/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:30:00 09/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:30:00 09/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:30:00 09/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 113 u1: BPM st: NotStopd t0: [13:30:00 09/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:30:00 09/12/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 114 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:30:00 09/12/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [13:30:00 09/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:30:00 09/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [13:30:00 09/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:30:00 09/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [13:30:00 09/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 35.5556 u1: Deg. C st: NotStopd t0: [13:30:00 09/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 96 u1: Deg. F st: NotStopd t0: [13:30:00 09/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 09/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [14:00:00 09/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [14:00:00 09/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 09/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 09/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [14:00:00 09/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 09/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 09/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [14:00:00 09/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [14:00:00 09/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [14:00:00 09/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 118 u1: BPM st: NotStopd t0: [14:00:00 09/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 09/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [14:00:00 09/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: ? st: NotStopd t0: [14:00:00 09/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [14:00:00 09/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 09/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [14:00:00 09/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 09/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [14:00:00 09/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [14:00:00 09/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [14:00:00 09/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 09/12/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 126 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 09/12/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 77.3333 u1: mmHg st: NotStopd t0: [14:00:00 09/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 09/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [14:00:00 09/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [14:00:00 09/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 09/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 09/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [14:00:00 09/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [14:00:00 09/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Tachypneic st: NotStopd t0: [14:00:00 09/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [14:00:00 09/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [14:00:00 09/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 09/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [14:00:00 09/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [14:00:00 09/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [14:00:00 09/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [14:00:00 09/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 09/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Anxious st: NotStopd t0: [14:00:00 09/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [14:00:00 09/12/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [14:00:00 09/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [14:00:00 09/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [14:00:00 09/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [14:00:00 09/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [14:00:00 09/12/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 15 u1: number st: NotStopd t0: [14:00:00 09/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd
t0: [14:00:00 09/12/2009] tf: [22:00:00 10/12/2009] dt: 1920 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml
tf: [22:00:00 09/12/2009] pt: Unit Dose rt: TP fr: ONCE fs: 15 dn: 1 m1: Benzocaine 20% Spray f1: SPR v1: 1 u1: SPRY tf: [10:00:00 11/12/2009] pt: IV Piggyback rt: IV fr: INFUSION dn: 0 m1: Amiodarone HCl f1: INJ v1: 600 u1: mg m2: D5W (EXCEL BAG) f2: INJ v2: 250 u2: ml tf: [15:00:00 12/12/2009] pt: Unit Dose rt: IV fr: Q6H fs: 15, 21, 3, 9 dn: 4 m1: Metoprolol f1: INJ v1: 5 u1: mg tf: [15:00:00 01/01/2010] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol-Ipratropium f1: AERO v1: 1-2 u1: PUFF
t0: [15:00:00 09/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 09/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 09/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [15:00:00 09/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 09/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 09/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [15:00:00 09/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 09/12/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 92 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [15:00:00 09/12/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [15:00:00 09/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 09/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [15:00:00 09/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [15:00:00 09/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 09/12/2009] tf: [20:00:00 09/12/2009] dt: 360 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 20 vu: ml t0: [14:00:00 09/12/2009] tf: [16:00:00 09/12/2009] dt: 120 id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 15 vu: ml t0: [15:00:00 09/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 09/12/2009] tf: [13:00:00 11/12/2009] dt: 2760 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 25 vu: ml t0: [15:00:00 09/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 5 vu: ml t0: [15:00:00 09/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 15 vu: ml
t0: [15:00:00 09/12/2009] tf: [10:34:00 18/12/2009] dt: 12694 id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 09/12/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [14:00:00 09/12/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [14:00:00 09/12/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd
t0: [16:00:00 09/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 09/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 09/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [16:00:00 09/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 09/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 09/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [16:00:00 09/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 09/12/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 92 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [16:00:00 09/12/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 58.6667 u1: mmHg st: NotStopd t0: [16:00:00 09/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 09/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [16:00:00 09/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:00:00 09/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 09/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 09/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 25 vu: ml
t0: [16:00:00 09/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [13:30:00 09/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [13:30:00 09/12/2009] id: PCA 1 Hr Limit (mg) el: 0 cu: CSRU cg: -1 v1: 1.2 st: NotStopd t0: [13:30:00 09/12/2009] id: PCA Dose el: 0 cu: CSRU cg: -1 v1: 0.12 st: NotStopd t0: [13:30:00 09/12/2009] id: PCA Lockout (Min) el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [13:30:00 09/12/2009] id: PCA Medication el: 0 cu: CSRU cg: -1 v1: Dilaudid st: NotStopd t0: [16:00:00 09/12/2009] id: Pain Level el: 0 cu: CSRU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [16:00:00 09/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 09/12/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 09/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [16:00:00 09/12/2009] id: PainLevel Acceptable el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 09/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 09/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [16:00:00 09/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 09/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 09/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 09/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 09/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 09/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Lethargic st: NotStopd t0: [16:00:00 09/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 09/12/2009] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [16:00:00 09/12/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [16:00:00 09/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Left Chest st: NotStopd t0: [16:00:00 09/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: PCA st: NotStopd t0: [16:00:00 09/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Dull st: NotStopd t0: [16:00:00 09/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 09/12/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 09/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 09/12/2009] id: Procedures el: 0 cu: CSRU cg: -1 v1: Bronchoscopy st: NotStopd t0: [16:00:00 09/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 09/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 09/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 09/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 09/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Tachypneic st: NotStopd t0: [16:00:00 09/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 09/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 09/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 09/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 09/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 09/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 09/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 09/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 09/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Anxious st: NotStopd t0: [16:00:00 09/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [17:00:00 09/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 09/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 09/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [17:00:00 09/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 09/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 09/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [17:00:00 09/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 09/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 122 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:00:00 09/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [17:00:00 09/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 09/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [17:00:00 09/12/2009] id: Significant Events el: 0 cu: CSRU cg: -1 v1: Fluid Bolus st: NotStopd t0: [17:00:00 09/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 09/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 09/12/2009] tf: [19:00:00 09/12/2009] dt: 120 id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [17:00:00 09/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 250 vu: ml t0: [17:00:00 09/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 25 vu: ml t0: [17:00:00 09/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 5 vu: ml
t0: [17:00:00 09/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [17:02:00 09/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [17:02:00 09/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [17:02:00 09/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [17:02:00 09/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [17:02:00 09/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 119 u1: mmHg rs: Final st: NotStopd t0: [17:02:00 09/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [17:02:00 09/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 218 rs: Final st: NotStopd t0: [17:02:00 09/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28 u1: % rs: Final st: NotStopd t0: [17:02:00 09/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.09 rs: Final st: NotStopd t0: [17:02:00 09/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.5 rs: Final st: NotStopd t0: [17:02:00 09/12/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [17:00:00 09/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 70 u1: decFrc st: NotStopd t0: [17:00:00 09/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [17:00:00 09/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 09/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:00:00 09/12/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [17:00:00 09/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [17:00:00 09/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [17:00:00 09/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 18.4 u1: cmH2O st: NotStopd t0: [17:00:00 09/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 3 u1: L/min st: NotStopd t0: [17:00:00 09/12/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 09/12/2009] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Not Applicable st: NotStopd t0: [17:00:00 09/12/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [17:00:00 09/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [17:00:00 09/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 09/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 09/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 315 u1: ml/B st: NotStopd t0: [17:00:00 09/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 09/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT st: NotStopd t0: [17:00:00 09/12/2009] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
id: Packed RBC's el: 1 cu: CSRU cg: -1 io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [18:00:00 09/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 09/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 09/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [18:00:00 09/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [18:00:00 09/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [18:00:00 09/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [18:00:00 09/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 09/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [18:00:00 09/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 09/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [18:00:00 09/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [18:00:00 09/12/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [18:00:00 09/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 09/12/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [18:00:00 09/12/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [18:00:00 09/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [18:00:00 09/12/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [18:00:00 09/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 112 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [18:00:00 09/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [18:00:00 09/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 09/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [18:00:00 09/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 09/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [18:00:00 09/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 35.6667 u1: Deg. C st: NotStopd t0: [18:00:00 09/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 96.2 u1: Deg. F st: NotStopd t0: [18:00:00 09/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 09/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 09/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 09/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 25 vu: ml t0: [18:00:00 09/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 15 vu: ml t0: [18:00:00 09/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 5 vu: ml t0: [18:00:00 09/12/2009] tf: [20:00:00 09/12/2009] dt: 120 id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [18:32:00 09/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [18:32:00 09/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [18:32:00 09/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [18:32:00 09/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [18:32:00 09/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 138 u1: mmHg rs: Final st: NotStopd t0: [18:32:00 09/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.27 rs: Final st: NotStopd
t0: [18:32:00 09/12/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [19:00:00 09/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 09/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 09/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [19:00:00 09/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [19:00:00 09/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [19:00:00 09/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [19:00:00 09/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 09/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [19:00:00 09/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [19:00:00 09/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 09/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [19:00:00 09/12/2009] id: Significant Events el: 0 cu: CSRU cg: -1 v1: Intubated st: NotStopd t0: [19:00:00 09/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 09/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 09/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 09/12/2009] tf: [11:00:00 12/12/2009] dt: 3840 id: Packed RBC's IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 450 vu: ml t0: [19:00:00 09/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 25 vu: ml t0: [19:00:00 09/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [19:00:00 09/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 09/12/2009] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: -1 cv: 450 ap: none
t0: [19:00:00 09/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd
t0: [19:00:00 09/12/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 31.25 u1: ml/cmH st: NotStopd t0: [19:00:00 09/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [19:00:00 09/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 70 u1: decFrc st: NotStopd t0: [19:00:00 09/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [19:00:00 09/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [19:00:00 09/12/2009] id: % Inspir. Time el: 0 cu: CSRU cg: -1 v1: 25% st: NotStopd t0: [19:00:00 09/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [19:00:00 09/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.0 mm st: NotStopd t0: [19:00:00 09/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [19:00:00 09/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [19:00:00 09/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8 u1: cmH2O st: NotStopd t0: [19:00:00 09/12/2009] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 v1: 10 u1: L/min st: NotStopd t0: [19:00:00 09/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [19:00:00 09/12/2009] id: Pause Time % el: 0 cu: CSRU cg: -1 v1: 0% st: NotStopd t0: [19:00:00 09/12/2009] id: Peak Flow (Calc) el: 0 cu: CSRU cg: -1 v1: 40 u1: lpm st: NotStopd t0: [19:00:00 09/12/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 21 u1: cmH2O st: NotStopd t0: [19:00:00 09/12/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 09/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [19:00:00 09/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [19:00:00 09/12/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 8 u1: BPM st: NotStopd t0: [19:00:00 09/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [19:00:00 09/12/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [19:00:00 09/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [19:00:00 09/12/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 480 u1: ml/B st: NotStopd t0: [19:00:00 09/12/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [19:00:00 09/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 300 u1: ml/B st: NotStopd t0: [19:00:00 09/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [19:00:00 09/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [19:00:00 09/12/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: SQUARE st: NotStopd t0: [19:00:00 09/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [19:00:00 09/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 8 u1: L/min st: NotStopd t0: [19:23:00 09/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [19:23:00 09/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [19:23:00 09/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [19:23:00 09/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [19:23:00 09/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 103 u1: mmHg rs: Final st: NotStopd t0: [19:23:00 09/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [19:23:00 09/12/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
tf: [20:00:00 09/12/2009] pt: Unit Dose rt: PO fr: Q24H fs: 20 dn: 1 m1: Levofloxacin f1: TAB v1: 500 u1: mg tf: [22:00:00 09/12/2009] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl f1: INJ v1: 60 u1: mg m2: D5W f2: INJ v2: 250 u2: ml tf: [22:00:00 09/12/2009] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Fentanyl Citrate f1: INJ v1: 12.5-25 u1: mcg tf: [22:00:00 09/12/2009] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Ketorolac f1: INJ v1: 30 u1: mg tf: [15:00:00 01/01/2010] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride f1: BAG v1: 20 u1: mEq m2: SW f2: INJ v2: 50 u2: ml tf: [15:00:00 01/01/2010] pt: Unit Dose rt: IV fr: PRN m1: Calcium Gluconate f1: INJ v1: 2 u1: gm tf: [15:00:00 01/01/2010] pt: Unit Dose rt: IV fr: PRN m1: Magnesium Sulfate f1: INJ v1: 2 u1: gm
t0: [20:00:00 09/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [20:00:00 09/12/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 09/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 09/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [20:00:00 09/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 09/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 09/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 09/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 09/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [20:00:00 09/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [20:00:00 09/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [20:00:00 09/12/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [20:00:00 09/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 09/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [20:00:00 09/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 09/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 09/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 09/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [20:00:00 09/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 09/12/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 09/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 09/12/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [20:00:00 09/12/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 09/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 09/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 09/12/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 09/12/2009] id: IV #1 D/C Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [20:00:00 09/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: ? st: NotStopd t0: [20:00:00 09/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [20:00:00 09/12/2009] id: IV #2 D/C Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [20:00:00 09/12/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [20:00:00 09/12/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 09/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 09/12/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 09/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 09/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 09/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [20:00:00 09/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 09/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/12/2009] id: PCA 1 Hr Limit (mg) el: 0 cu: CSRU cg: -1 v1: 1.2 st: NotStopd t0: [20:00:00 09/12/2009] id: PCA Dose el: 0 cu: CSRU cg: -1 v1: 0.12 st: NotStopd t0: [20:00:00 09/12/2009] id: PCA Lockout (Min) el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [20:00:00 09/12/2009] id: PCA Medication el: 0 cu: CSRU cg: -1 v1: Dilaudid st: NotStopd t0: [20:00:00 09/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 107 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [20:00:00 09/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 09/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 09/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [20:00:00 09/12/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 09/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 09/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 09/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 09/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 09/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 09/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 09/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 09/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [20:00:00 09/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 09/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 09/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 09/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 09/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [20:00:00 09/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [20:00:00 09/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 09/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 09/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 09/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 09/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [20:00:00 09/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 09/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 25 vu: ml t0: [20:00:00 09/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [20:00:00 09/12/2009] tf: [10:34:00 18/12/2009] dt: 12394 id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 10 vu: ml t0: [20:00:00 09/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [20:00:00 09/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [19:14:00 09/12/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [19:14:00 09/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [19:14:00 09/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [19:14:00 09/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [19:14:00 09/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 217 rs: Final st: NotStopd t0: [19:14:00 09/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [19:14:00 09/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.4 rs: Final st: NotStopd t0: [19:14:00 09/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 132 rs: Final st: NotStopd
tf: [18:00:00 17/12/2009] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 2 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml tf: [18:00:00 17/12/2009] pt: IV Piggyback rt: IV fr: Q6H fs: 22, 4, 10, 16 dn: 4 m1: Piperacillin-Tazobactam Na f1: INJ v1: 4.5 u1: gm m2: Iso-Osmotic Dextrose f2: INJ v2: 100 u2: ml tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV fr: Q12H fs: 21, 9 dn: 2 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 09, 21 dn: 2 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV fr: Q6H fs: 21, 3, 9, 15 dn: 4 m1: Piperacillin-Tazobactam Na f1: INJ v1: 4.5 u1: gm m2: Iso-Osmotic Dextrose f2: INJ v2: 100 u2: ml tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [20:00:00 09/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 09/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 09/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [21:00:00 09/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 09/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [21:00:00 09/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 09/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [21:00:00 09/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [21:00:00 09/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [21:00:00 09/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 09/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 152 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:00:00 09/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [21:00:00 09/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 09/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [21:00:00 09/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 09/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [21:00:00 09/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 35.8889 u1: Deg. C st: NotStopd t0: [21:00:00 09/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 96.6 u1: Deg. F st: NotStopd t0: [21:00:00 09/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 09/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 09/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 25 vu: ml t0: [21:00:00 09/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [21:00:00 09/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 17 vu: ml t0: [21:00:00 09/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [20:00:00 09/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Anterior st: NotStopd t0: [20:00:00 09/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 09/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 09/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [20:00:00 09/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 09/12/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 09/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 09/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 09/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Rarely Moist st: NotStopd t0: [20:00:00 09/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [20:00:00 09/12/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 17 u1: number st: NotStopd t0: [20:00:00 09/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: No Impairment st: NotStopd t0: [20:00:00 09/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 09/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [20:00:00 09/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [20:00:00 09/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 15 cm st: NotStopd
t0: [21:30:00 09/12/2009] tf: [00:00:00 15/12/2009] dt: 7350 id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml
t0: [21:00:00 09/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 09/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 15 degrees st: NotStopd t0: [21:00:00 09/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [21:00:00 09/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [21:00:00 09/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [21:00:00 09/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [21:00:00 09/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd
tf: [09:00:00 20/12/2009] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Amiodarone HCl f1: TAB v1: 400 u1: mg
t0: [22:00:00 09/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 09/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [22:00:00 09/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 09/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [22:00:00 09/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [22:00:00 09/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [22:00:00 09/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 09/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 134 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 09/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [22:00:00 09/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 09/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [22:00:00 09/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 09/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 09/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 09/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [22:00:00 09/12/2009] tf: [05:00:00 10/12/2009] dt: 420 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 8 vu: ml t0: [22:00:00 09/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 16 vu: ml t0: [22:00:00 09/12/2009] tf: [00:00:00 10/12/2009] dt: 120 id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 5 vu: ml
t0: [22:00:00 09/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 09/12/2009] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: -1 cv: 93 ap: none
t0: [21:00:00 09/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 126 rs: Manual st: NotStopd t0: [22:15:00 09/12/2009] id: Significant Events el: 0 cu: CSRU cg: -1 v1: Fluid Bolus st: NotStopd
t0: [22:00:00 09/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 200 vu: ml t0: [22:15:00 09/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 250 vu: ml
t0: [23:00:00 09/12/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: -1 pv: 250 cv: 1067.5 ap: none
t0: [23:00:00 09/12/2009] id: IV #1 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [23:00:00 09/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [23:00:00 09/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [23:00:00 09/12/2009] id: IV #2 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [23:00:00 09/12/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [23:00:00 09/12/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [23:00:00 09/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [23:00:00 09/12/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Fentanyl Citrate f1: INJ v1: 25-100 u1: mcg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Fentanyl Citrate f1: INJ v1: 25-50 u1: mcg
t0: [23:00:00 09/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 09/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [23:00:00 09/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 09/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [23:00:00 09/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [23:00:00 09/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [23:00:00 09/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 09/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [23:00:00 09/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [23:00:00 09/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 09/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [23:00:00 09/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 09/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 09/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [23:00:00 09/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 09/12/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: -1 pv: 40 cv: 40 ap: none t0: [23:00:00 09/12/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: -1 pv: 40 cv: 123 ap: none t0: [23:00:00 09/12/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: -1 pv: 40 cv: 216 ap: none
t0: [23:00:00 09/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 15 degrees st: NotStopd t0: [23:00:00 09/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [23:00:00 09/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [23:00:00 09/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [23:00:00 09/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [23:00:00 09/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd
t0: [23:00:00 09/12/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 33.3333 u1: ml/cmH st: NotStopd t0: [23:00:00 09/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 70 u1: decFrc st: NotStopd t0: [23:00:00 09/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [23:00:00 09/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [23:00:00 09/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [23:00:00 09/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 9 u1: cmH2O st: NotStopd t0: [23:00:00 09/12/2009] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 v1: 10 u1: L/min st: NotStopd t0: [23:00:00 09/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 7.8 u1: L/min st: NotStopd t0: [23:00:00 09/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [23:00:00 09/12/2009] id: Pause Time % el: 0 cu: CSRU cg: -1 v1: 0% st: NotStopd t0: [23:00:00 09/12/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [23:00:00 09/12/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 09/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [23:00:00 09/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [23:00:00 09/12/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 8 u1: BPM st: NotStopd t0: [23:00:00 09/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [23:00:00 09/12/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [23:00:00 09/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [23:00:00 09/12/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 480 u1: ml/B st: NotStopd t0: [23:00:00 09/12/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [23:00:00 09/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 350 u1: ml/B st: NotStopd t0: [23:00:00 09/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [23:00:00 09/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [23:00:00 09/12/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: SQUARE st: NotStopd t0: [23:00:00 09/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [23:00:00 09/12/2009] id: % Inspir. Time el: 0 cu: CSRU cg: -1 v1: 33% st: NotStopd t0: [23:00:00 09/12/2009] id: Peak Flow (Calc) el: 0 cu: CSRU cg: -1 v1: 30.303 u1: lpm st: NotStopd
t0: [23:40:00 09/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [23:40:00 09/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [23:40:00 09/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [23:40:00 09/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [23:40:00 09/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 125 u1: mmHg rs: Final st: NotStopd t0: [23:40:00 09/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd
t0: [23:00:00 09/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd
t0: [23:00:00 09/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [00:00:00 10/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [00:00:00 10/12/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [00:00:00 10/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Anterior st: NotStopd t0: [00:00:00 10/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 10/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 10/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [00:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [00:00:00 10/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 10/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [00:00:00 10/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 10/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [00:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 10/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 10/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [00:00:00 10/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 10/12/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 10/12/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [00:00:00 10/12/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 10/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 10/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 10/12/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 10/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 10/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 10/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [00:00:00 10/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 10/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 10/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [00:00:00 10/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 10/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [00:00:00 10/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 10/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 10/12/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 10/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 10/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 10/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 10/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 10/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 10/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [00:00:00 10/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 10/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 10/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 10/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 10/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 10/12/2009] id: Stool Guaiac el: 0 cu: CSRU cg: -1 v1: Not Applicable st: NotStopd t0: [00:00:00 10/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 10/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 10/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 10/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 10/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 10/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 10/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 10/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [00:00:00 10/12/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 10/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 10/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [00:00:00 10/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Rarely Moist st: NotStopd t0: [00:00:00 10/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [00:00:00 10/12/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 17 u1: number st: NotStopd t0: [00:00:00 10/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: No Impairment st: NotStopd t0: [00:00:00 10/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 10/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [00:00:00 10/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [00:00:00 10/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 15 cm st: NotStopd
t0: [00:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 105 vu: ml t0: [00:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 25 vu: ml t0: [00:00:00 10/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 16 vu: ml t0: [00:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 15 vu: ml t0: [00:00:00 10/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [00:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
id: Gastric Meds el: 1 cu: CSRU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [23:40:00 09/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 181 rs: Final st: NotStopd t0: [23:40:00 09/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: RN v1: 24 u1: % rs: Final st: NotStopd
t0: [00:14:00 10/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27.5 u1: % rs: Final st: NotStopd
t0: [01:00:00 10/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [01:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [01:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [01:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [01:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [01:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 124 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [01:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [01:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [01:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [01:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
tf: [15:00:00 01/01/2010] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin f1: INJ v1: 0 u1: UNIT
t0: [01:37:00 10/12/2009] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 v1: 8 u1: L/min st: NotStopd t0: [01:37:00 10/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [01:37:00 10/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 380 u1: ml/B st: NotStopd t0: [01:37:00 10/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd
t0: [01:00:00 10/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 10/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd
t0: [02:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [02:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [02:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [02:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [02:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 137 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [02:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [02:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [02:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [02:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [02:00:00 10/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 17 vu: ml t0: [02:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml t0: [02:00:00 10/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [02:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [03:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [03:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [03:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [03:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 110 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [03:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [03:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [03:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 09/12/2009] tf: [10:34:00 18/12/2009] dt: 12274 id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 107 vo: 30 vu: ml t0: [03:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [03:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [03:00:00 10/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 3 vu: ml t0: [03:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 90 vu: ml t0: [03:00:00 10/12/2009] tf: [04:00:00 10/12/2009] dt: 60 id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 15 vu: ml
t0: [03:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 09/12/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: -1 pv: 210 cv: 210 ap: none t0: [23:00:00 09/12/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: -1 pv: 250 cv: 1547.5 ap: none t0: [23:00:00 09/12/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 cv: 30 ap: none t0: [23:00:00 09/12/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: -1 pv: 210 cv: 1331.5 ap: none t0: [23:00:00 09/12/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: -1 pv: 210 cv: 1331.5 ap: none
t0: [02:00:00 10/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 15 degrees st: NotStopd t0: [02:00:00 10/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 10/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 10/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [02:00:00 10/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 10/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [03:00:00 10/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 15 degrees st: NotStopd t0: [03:00:00 10/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [03:00:00 10/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [03:00:00 10/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [03:00:00 10/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [03:00:00 10/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd
t0: [04:00:00 10/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 10/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 70 u1: decFrc st: NotStopd t0: [04:00:00 10/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [04:00:00 10/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 10/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 10/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.0 mm st: NotStopd t0: [04:00:00 10/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 10/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [04:00:00 10/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 10/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 7.5 u1: L/min st: NotStopd t0: [04:00:00 10/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 10/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [04:00:00 10/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [04:00:00 10/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [04:00:00 10/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 10/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 350 u1: ml/B st: NotStopd t0: [04:00:00 10/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [04:00:00 10/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [04:00:00 10/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [03:52:00 10/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [03:52:00 10/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [03:52:00 10/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [03:52:00 10/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [03:52:00 10/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 117 u1: mmHg rs: Final st: NotStopd t0: [03:52:00 10/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [03:52:00 10/12/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [04:00:00 10/12/2009] id: PCA 1 Hr Limit (mg) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [04:00:00 10/12/2009] id: PCA Dose el: 0 cu: CSRU cg: -1 st: D/C'd t0: [04:00:00 10/12/2009] id: PCA Lockout (Min) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [04:00:00 10/12/2009] id: PCA Medication el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [04:00:00 10/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [04:00:00 10/12/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [04:00:00 10/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Anterior st: NotStopd t0: [04:00:00 10/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 10/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 10/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [04:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [04:00:00 10/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 10/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [04:00:00 10/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 10/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [04:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 10/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 10/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [04:00:00 10/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 10/12/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 10/12/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [04:00:00 10/12/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 10/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 10/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 10/12/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 10/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 10/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 10/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 10/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 10/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 10/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 10/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 10/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 128 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 10/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 10/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [04:00:00 10/12/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 10/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 10/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 10/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 10/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 10/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 10/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [04:00:00 10/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 10/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 10/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 10/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 10/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 10/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 10/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 10/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 10/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Anxious st: NotStopd t0: [04:00:00 10/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [04:00:00 10/12/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 10/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 10/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [04:00:00 10/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Rarely Moist st: NotStopd t0: [04:00:00 10/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [04:00:00 10/12/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 16 u1: number st: NotStopd t0: [04:00:00 10/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [04:00:00 10/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 10/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [04:00:00 10/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [04:00:00 10/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 15 cm st: NotStopd
t0: [04:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [04:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [04:00:00 10/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 2 vu: ml t0: [04:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 35 vu: ml t0: [04:00:00 10/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [04:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [03:52:00 10/12/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.7068 u1: ml/dl st: NotStopd t0: [04:03:00 10/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.7 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.7 u1: % rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 212 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.03 u1: /mic l rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.7 rs: Final st: NotStopd
t0: [04:03:00 10/12/2009] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 12.9 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 26.2 rs: Final st: NotStopd
t0: [03:00:00 10/12/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [03:00:00 10/12/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd
t0: [04:00:00 10/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 5 dn: 1 m1: Fentanyl Citrate f1: INJ v1: 50 u1: mcg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 5 dn: 1 m1: Lorazepam f1: SYR v1: 0.25 u1: mg
t0: [04:03:00 10/12/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.4 u1: mg/dl rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 132 rs: Final st: NotStopd
t0: [04:03:00 10/12/2009] id: Differential-Bands Hematology el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Differential-Basos Hematology el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Differential-Eos Hematology el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Differential-Lymphs Hematology el: 0 cu: CSRU cg: 3161 v1: 12 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Differential-Monos Hematology el: 0 cu: CSRU cg: 3161 v1: 9 rs: Final st: NotStopd t0: [04:03:00 10/12/2009] id: Differential-Polys Hematology el: 0 cu: CSRU cg: 3161 v1: 71 rs: Final st: NotStopd
t0: [04:00:00 10/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 10/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 10/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [05:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [05:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [05:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [05:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [05:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 98 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [05:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [05:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [05:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [05:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [05:00:00 10/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [05:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml t0: [05:00:00 10/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [05:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 10/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [02:00:00 10/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [06:00:00 10/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [06:00:00 10/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [06:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [06:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [06:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [06:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [06:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [06:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [06:00:00 10/12/2009] tf: [07:00:00 10/12/2009] dt: 60 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [06:00:00 10/12/2009] tf: [20:00:00 12/12/2009] dt: 3720 id: Gastric Oral Gastric el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [06:00:00 10/12/2009] id: Gastric Oral Gastric el: 1 cu: CSRU cg: RN vo: 130 vu: ml t0: [06:00:00 10/12/2009] tf: [07:00:00 10/12/2009] dt: 60 id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [06:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 10/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 10/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 10/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [06:00:00 10/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 10/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [06:00:00 10/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [06:00:00 10/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [06:00:00 10/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd
t0: [06:00:00 10/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 144 rs: Manual st: NotStopd
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 7 dn: 1 m1: Fentanyl Citrate f1: INJ v1: 50 u1: mcg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 7 dn: 1 m1: Lorazepam f1: SYR v1: 1 u1: mg
t0: [07:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [07:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [07:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [07:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [07:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 121 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [07:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [07:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [07:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [07:00:00 10/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [07:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml t0: [07:00:00 10/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [07:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 10/12/2009] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: -1 u1: cmH2O st: NotStopd t0: [07:00:00 10/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [07:00:00 10/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [07:00:00 10/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [07:00:00 10/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 10/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [07:00:00 10/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.0 mm st: NotStopd t0: [07:00:00 10/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [07:00:00 10/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [07:00:00 10/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [07:00:00 10/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [07:00:00 10/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8.3 u1: cmH2O st: NotStopd t0: [07:00:00 10/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 10 u1: L/min st: NotStopd t0: [07:00:00 10/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 10/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [07:00:00 10/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [07:00:00 10/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [07:00:00 10/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 10/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 340 u1: ml/B st: NotStopd t0: [07:00:00 10/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [07:00:00 10/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [07:00:00 10/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [08:00:00 10/12/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 10/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Anterior st: NotStopd t0: [08:00:00 10/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 10/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 10/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 10/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 10/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 10/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [08:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 10/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 10/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 10/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 10/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 10/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 10/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 10/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 10/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 168 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [08:00:00 10/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 10/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [08:00:00 10/12/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 10/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 10/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 10/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 10/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 10/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 10/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [08:00:00 10/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 10/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 10/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 10/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 10/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 10/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [08:00:00 10/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 10/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 10/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 10/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Anxious st: NotStopd t0: [08:00:00 10/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 10/12/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 10/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 10/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 10/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 10/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [08:00:00 10/12/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 17 u1: number st: NotStopd t0: [08:00:00 10/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: No Impairment st: NotStopd t0: [08:00:00 10/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 10/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 10/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [08:00:00 10/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 15 cm st: NotStopd
t0: [08:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [08:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [08:00:00 10/12/2009] tf: [09:00:00 10/12/2009] dt: 60 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 10 vu: ml t0: [08:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml t0: [08:00:00 10/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [08:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
tf: [15:00:00 01/01/2010] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam f1: SYR v1: 0.5-1 u1: mg
t0: [04:00:00 10/12/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [04:00:00 10/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [08:00:00 10/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [08:00:00 10/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Very Agitated st: NotStopd t0: [08:00:00 10/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Brown v2: Thick st: NotStopd t0: [08:00:00 10/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd
t0: [08:00:00 10/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml
t0: [09:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [09:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [09:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 117 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [09:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [09:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 10/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [09:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [09:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [09:00:00 10/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [09:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml t0: [09:00:00 10/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [09:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 10/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 10/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [08:00:00 10/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99.5 u1: Deg. F st: NotStopd
tf: [11:00:00 23/12/2009] pt: Unit Dose rt: PO fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Lorazepam f1: TAB v1: 0.5 u1: mg
t0: [10:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 26 u1: mmHg st: NotStopd t0: [10:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 10/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Very Agitated st: NotStopd t0: [10:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [10:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 156 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [10:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [10:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [10:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [10:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [10:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [10:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [11:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [11:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 10/12/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 136 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 10/12/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 77.3333 u1: mmHg st: NotStopd t0: [11:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 158 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [11:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [11:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 10/12/2009] id: QTc el: 0 cu: CSRU cg: -1 v1: 0.48 u1: sec st: NotStopd t0: [11:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [11:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 10/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 200 vu: ml t0: [11:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [11:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [11:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 25 vu: ml
t0: [11:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 10/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [11:00:00 10/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [11:00:00 10/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [11:00:00 10/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 10/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [11:00:00 10/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.0 mm st: NotStopd t0: [11:00:00 10/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [11:00:00 10/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [11:00:00 10/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [11:00:00 10/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [11:00:00 10/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8.2 u1: cmH2O st: NotStopd t0: [11:00:00 10/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 9.9 u1: L/min st: NotStopd t0: [11:00:00 10/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 10/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [11:00:00 10/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [11:00:00 10/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 10/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [11:00:00 10/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [11:00:00 10/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [11:00:00 10/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [11:00:00 10/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [11:00:00 10/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [11:00:00 10/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 370 u1: ml/B st: NotStopd
t0: [11:00:00 10/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd
t0: [11:00:00 10/12/2009] id: Procedures el: 0 cu: CSRU cg: -1 v1: Bronchoscopy st: NotStopd
t0: [11:30:00 10/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 1 u1: torr st: NotStopd t0: [11:30:00 10/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 10 u1: . st: NotStopd
t0: [11:45:00 10/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [11:45:00 10/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 u1: . st: NotStopd
t0: [12:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [12:00:00 10/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Anterior st: NotStopd t0: [12:00:00 10/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 10/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 10/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 10/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 10/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [12:00:00 10/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 10/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [12:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 10/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 10/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 10/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 10/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [12:00:00 10/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 10/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 10/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 10/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 124 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [12:00:00 10/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 10/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 10/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 10/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 10/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 10/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 10/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 10/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 10/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 10/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 10/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [12:00:00 10/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 10/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 10/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 10/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 10/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [12:00:00 10/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 10/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [12:00:00 10/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [12:00:00 10/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 15 cm st: NotStopd
t0: [12:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [12:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [12:00:00 10/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [12:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml t0: [12:00:00 10/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [12:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 10/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 10/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [10:00:00 10/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [10:00:00 10/12/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [10:00:00 10/12/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [10:00:00 10/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 10/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 10/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 10/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 10/12/2009] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd
t0: [12:36:00 10/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd
t0: [12:00:00 10/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 182 rs: Manual st: NotStopd
tf: [12:00:00 21/12/2009] pt: Unit Dose rt: IV fr: Q1-2H:PRN m1: Fentanyl Citrate f1: INJ v1: 25-50 u1: mcg tf: [11:00:00 23/12/2009] pt: Unit Dose rt: PO fr: Q24H fs: 9 dn: 1 m1: Levothyroxine Sodium f1: TAB v1: 175 u1: mcg
t0: [13:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [13:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [13:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [13:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [13:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 10/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [13:00:00 10/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [13:00:00 10/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [13:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 10/12/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vu: ml t0: [09:00:00 10/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [13:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [13:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [13:00:00 10/12/2009] tf: [18:00:00 10/12/2009] dt: 300 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [13:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [13:00:00 10/12/2009] tf: [14:00:00 10/12/2009] dt: 60 id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [13:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 10/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 10/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [10:00:00 10/12/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [10:00:00 10/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [14:00:00 10/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:00:00 10/12/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [14:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 10/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [14:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [14:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [14:00:00 10/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 15 degrees st: NotStopd t0: [14:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [14:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 10/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 10/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [14:00:00 10/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 129 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 10/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [14:00:00 10/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [14:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [14:00:00 10/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 10/12/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 10/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 10/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [14:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 10/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [14:00:00 10/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 10/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 10/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [14:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [14:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [14:00:00 10/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 25 vu: ml t0: [14:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml t0: [14:00:00 10/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [14:00:00 10/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml
t0: [23:00:00 10/12/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 cv: 170 ap: none
t0: [15:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [15:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [15:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [15:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [15:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 121 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [15:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [15:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [15:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [15:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [15:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 10/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 10/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [16:00:00 10/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [16:00:00 10/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 10/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 10/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.0 mm st: NotStopd t0: [16:00:00 10/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 10/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [16:00:00 10/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [16:00:00 10/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8.6 u1: cmH2O st: NotStopd t0: [16:00:00 10/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 10 u1: L/min st: NotStopd t0: [16:00:00 10/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 10/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 15 u1: . st: NotStopd t0: [16:00:00 10/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [16:00:00 10/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [16:00:00 10/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 10/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 390 u1: ml/B st: NotStopd t0: [16:00:00 10/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [16:00:00 10/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [16:00:00 10/12/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd t0: [16:00:00 10/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [16:00:00 10/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd
t0: [12:00:00 10/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 8 v2: Combivent st: NotStopd t0: [16:00:00 10/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 8 v2: Combivent st: NotStopd
t0: [08:00:00 10/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 10/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 10/12/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [16:00:00 10/12/2009] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [16:00:00 10/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Anterior st: NotStopd t0: [16:00:00 10/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 10/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [16:00:00 10/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [16:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [16:00:00 10/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 10/12/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 10/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [16:00:00 10/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 10/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 10/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [16:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 10/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 10/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [16:00:00 10/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 10/12/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 10/12/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [16:00:00 10/12/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 10/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 10/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 10/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [16:00:00 10/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 10/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 10/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 10/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 10/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 10/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 10/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 10/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 10/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 10/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 108 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:00:00 10/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [16:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [16:00:00 10/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 10/12/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 10/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 10/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 10/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 10/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 10/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 10/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 10/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [16:00:00 10/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 10/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 10/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 10/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 10/12/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 10/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 10/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [16:00:00 10/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 10/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [16:00:00 10/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 10/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 10/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 10/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 10/12/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 10/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [16:00:00 10/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [16:00:00 10/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 10/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [16:00:00 10/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [16:00:00 10/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 15 cm st: NotStopd
t0: [16:00:00 10/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [16:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [16:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [16:00:00 10/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 15 vu: ml t0: [16:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml t0: [16:00:00 10/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [16:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 10/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 115 rs: Manual st: NotStopd t0: [17:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [17:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [17:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [17:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [17:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [17:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [17:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [17:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [17:04:00 10/12/2009] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd
t0: [16:00:00 10/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 10/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [16:00:00 10/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [18:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 24 u1: mmHg st: NotStopd t0: [18:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [18:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [18:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [18:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [18:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [17:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [17:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 25 vu: ml t0: [18:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [18:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [18:00:00 10/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [18:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml t0: [18:00:00 10/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [18:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 10/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd
t0: [18:44:00 10/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [18:44:00 10/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [18:44:00 10/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [18:44:00 10/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [18:44:00 10/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 115 u1: mmHg rs: Final st: NotStopd t0: [18:44:00 10/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [19:00:00 10/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd
t0: [18:44:00 10/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [18:44:00 10/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd
t0: [19:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 24 u1: mmHg st: NotStopd t0: [19:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [19:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [19:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 152 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [19:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [19:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [19:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [19:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [19:00:00 10/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [19:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml t0: [19:00:00 10/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [19:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [20:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [20:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [20:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 169 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [20:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [20:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [20:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [20:00:00 10/12/2009] tf: [21:00:00 10/12/2009] dt: 60 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [20:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [20:00:00 10/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [20:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 10/12/2009] id: Pain Level el: 0 cu: CSRU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [20:00:00 10/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 10/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 10/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [20:00:00 10/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 10/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 10/12/2009] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 10/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 10/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 10/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 10/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 10/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 10/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 10/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [20:00:00 10/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 10/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 10/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 10/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 10/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 10/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 10/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 10/12/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [20:00:00 10/12/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [20:00:00 10/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [20:00:00 10/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [20:00:00 10/12/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [20:00:00 10/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 10/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 10/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 10/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 10/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 10/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 10/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 10/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 10/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 10/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 10/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 10/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 10/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [20:00:00 10/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [20:00:00 10/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 10/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 10/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 10/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 10/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [20:00:00 10/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 10/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [20:00:00 10/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 10/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 10/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 15 cm st: NotStopd
t0: [20:00:00 10/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [20:00:00 10/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [20:00:00 10/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 10/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 10/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 10/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [20:00:00 10/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 10/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 8.3 u1: L/min st: NotStopd t0: [20:00:00 10/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 10/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 10 u1: . st: NotStopd t0: [20:00:00 10/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [20:00:00 10/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 10/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 382 u1: ml/B st: NotStopd t0: [20:00:00 10/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [20:00:00 10/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [20:00:00 10/12/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd t0: [20:00:00 10/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd t0: [20:30:00 10/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [20:30:00 10/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.0 mm st: NotStopd t0: [20:30:00 10/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [20:30:00 10/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [20:30:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:30:00 10/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [20:30:00 10/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd
t0: [17:04:00 10/12/2009] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 43 rs: Final st: NotStopd t0: [17:04:00 10/12/2009] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [17:04:00 10/12/2009] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [17:04:00 10/12/2009] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd
t0: [21:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [21:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [21:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [21:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [21:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 200 vu: ml t0: [21:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [21:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [21:00:00 10/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [21:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [21:00:00 10/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [21:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 10/12/2009] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [21:00:00 10/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 20cm v2: Lip st: NotStopd t0: [21:00:00 10/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 10/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 10/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 10/12/2009] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.0 mm st: NotStopd t0: [21:00:00 10/12/2009] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [21:00:00 10/12/2009] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [21:00:00 10/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 10/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [21:00:00 10/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: None st: NotStopd t0: [21:00:00 10/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 10/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd
t0: [22:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [22:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [22:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [22:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 10/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 10/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [22:00:00 10/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 10/12/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [22:00:00 10/12/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [22:00:00 10/12/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 10/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 10/12/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [22:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 10/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [22:00:00 10/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [22:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [22:00:00 10/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [22:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 10/12/2009] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 130 ap: none t0: [23:00:00 10/12/2009] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 198 ap: none
t0: [21:57:00 10/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [21:57:00 10/12/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.7006 u1: ml/dl st: NotStopd t0: [21:57:00 10/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [21:57:00 10/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [21:57:00 10/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [21:57:00 10/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 115 u1: mmHg rs: Final st: NotStopd t0: [21:57:00 10/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [21:57:00 10/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 191 rs: Final st: NotStopd t0: [21:57:00 10/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26 u1: % rs: Final st: NotStopd t0: [21:57:00 10/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [21:57:00 10/12/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [23:00:00 10/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 10/12/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [23:00:00 10/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 10/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 10/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 10/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [23:00:00 10/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 10/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [23:00:00 10/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [23:00:00 10/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 10/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 10/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 10/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 10/12/2009] tf: [11:01:00 11/12/2009] dt: 721 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [23:00:00 10/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [23:00:00 10/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [23:00:00 10/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [23:00:00 10/12/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 10/12/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 10/12/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 12.5 cv: 12.5 ap: none t0: [23:00:00 10/12/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 72.5 cv: 2637.5 ap: none t0: [23:00:00 10/12/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 72.5 cv: 2807.5 ap: none t0: [23:00:00 10/12/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 60 cv: 1165 ap: none t0: [23:00:00 10/12/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 12.5 cv: 1314.5 ap: none t0: [23:00:00 10/12/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 60 cv: 1493 ap: none t0: [23:00:00 10/12/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 12.5 cv: 2646 ap: none
t0: [00:00:00 11/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 11/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [00:00:00 11/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [00:00:00 11/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 11/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 11/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.0 mm st: NotStopd t0: [00:00:00 11/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 11/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 11/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [00:00:00 11/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [00:00:00 11/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 9.3 u1: cmH2O st: NotStopd t0: [00:00:00 11/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 7.1 u1: L/min st: NotStopd t0: [00:00:00 11/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 11/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 10 u1: . st: NotStopd t0: [00:00:00 11/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [00:00:00 11/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [00:00:00 11/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 11/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 361 u1: ml/B st: NotStopd t0: [00:00:00 11/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [00:00:00 11/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [00:00:00 11/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [00:00:00 11/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [00:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 11/12/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [00:00:00 11/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 11/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 11/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Pink Tinged st: NotStopd t0: [00:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [00:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 11/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 11/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 11/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 11/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [00:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 11/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 11/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 11/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 11/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 11/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 11/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 11/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 11/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 11/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 11/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 11/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [00:00:00 11/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 11/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 11/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 15 cm st: NotStopd
t0: [00:00:00 11/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [00:00:00 11/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [00:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [00:00:00 11/12/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 11/12/2009] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [00:00:00 11/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 11/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 11/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 11/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 11/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 11/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 11/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 11/12/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [01:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [01:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [01:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 11/12/2009] tf: [03:00:00 11/12/2009] dt: 180 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [00:00:00 11/12/2009] tf: [03:00:00 11/12/2009] dt: 180 id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [01:00:00 11/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [01:00:00 11/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [01:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [01:00:00 11/12/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 10/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 191 rs: Manual st: NotStopd
t0: [00:30:00 11/12/2009] id: Pain Level el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [00:30:00 11/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:30:00 11/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Grimace Scale st: NotStopd t0: [00:30:00 11/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:30:00 11/12/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Movement/Turning st: NotStopd t0: [00:30:00 11/12/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [00:30:00 11/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [00:30:00 11/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [00:30:00 11/12/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd
t0: [02:00:00 11/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 11/12/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [02:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [02:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 11/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [02:00:00 11/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 11/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 11/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [02:00:00 11/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [02:00:00 11/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [02:00:00 11/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 11/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [02:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [02:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 11/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 11/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 11/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 11/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 11/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 11/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [02:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 11/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [02:00:00 11/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [02:00:00 11/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [02:00:00 11/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [02:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 11/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [02:00:00 11/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [02:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [02:00:00 11/12/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 11/12/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [03:00:00 11/12/2009] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [03:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [03:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [03:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [03:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 11/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [03:00:00 11/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [03:00:00 11/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [03:00:00 11/12/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [03:00:00 11/12/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [03:00:00 11/12/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [03:00:00 11/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 11/12/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 11/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: None st: NotStopd t0: [03:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 11/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [03:00:00 11/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [03:00:00 11/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [03:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [03:00:00 11/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [03:00:00 11/12/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 11/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 11/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [04:00:00 11/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [04:00:00 11/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 11/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 11/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.0 mm st: NotStopd t0: [04:00:00 11/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 11/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 11/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [04:00:00 11/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [04:00:00 11/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 10.2 u1: cmH2O st: NotStopd t0: [04:00:00 11/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 8.9 u1: L/min st: NotStopd t0: [04:00:00 11/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 11/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [04:00:00 11/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [04:00:00 11/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [04:00:00 11/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 11/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 377 u1: ml/B st: NotStopd t0: [04:00:00 11/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [04:00:00 11/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [04:00:00 11/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [04:00:00 11/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [03:00:00 11/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 11/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 11/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 11/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 11/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [03:00:00 11/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 11/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 11/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 11/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 11/12/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [04:00:00 11/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [04:00:00 11/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 11/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [04:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 11/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 11/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 11/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 11/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Pink Tinged st: NotStopd t0: [04:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [04:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 11/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 11/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 11/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [04:00:00 11/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 11/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 11/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 11/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 11/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 11/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 11/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [04:00:00 11/12/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 11/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 11/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 11/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 11/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 11/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 11/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 11/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 11/12/2009] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 11/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 11/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [04:00:00 11/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 11/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [04:00:00 11/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 11/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [04:00:00 11/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 11/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 11/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 15 cm st: NotStopd
t0: [04:00:00 11/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 11/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [04:00:00 11/12/2009] tf: [16:00:00 11/12/2009] dt: 720 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [04:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [04:00:00 11/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [04:00:00 11/12/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [04:23:00 11/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [04:23:00 11/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:23:00 11/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [04:23:00 11/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [04:23:00 11/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 118 u1: mmHg rs: Final st: NotStopd t0: [04:23:00 11/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [04:23:00 11/12/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [05:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 11/12/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [05:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [05:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [05:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [05:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [05:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [05:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 11/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [05:00:00 11/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [05:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [05:00:00 11/12/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 11/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 12.7 rs: Final st: NotStopd t0: [04:00:00 11/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27.6 u1: % rs: Final st: NotStopd t0: [04:00:00 11/12/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.6 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 11/12/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 188 rs: Final st: NotStopd t0: [04:00:00 11/12/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.86 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 11/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 12.7 rs: Final st: NotStopd t0: [04:23:00 11/12/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.6593 u1: ml/dl st: NotStopd
t0: [04:00:00 11/12/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [04:00:00 11/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [04:00:00 11/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [04:00:00 11/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [04:00:00 11/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd
id: KCL el: 100 cu: CSRU cg: RN io: D5W 50.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
id: D5W el: 1 cu: CSRU cg: RN io: D5W 50.0ml IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [06:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 11/12/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [06:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [06:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [06:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 11/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [06:00:00 11/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [06:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [06:00:00 11/12/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 11/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.9 rs: Final st: NotStopd
t0: [07:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 11/12/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [07:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [07:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [07:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [07:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 164 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [07:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 11/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [07:00:00 11/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [07:00:00 11/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [07:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 11/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [06:00:00 11/12/2009] tf: [17:00:00 11/12/2009] dt: 660 id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [07:00:00 11/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [07:00:00 11/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [07:00:00 11/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [07:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [07:00:00 11/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [07:00:00 11/12/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 11/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [07:00:00 11/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [07:00:00 11/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [07:00:00 11/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 11/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [07:00:00 11/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.0 mm st: NotStopd t0: [07:00:00 11/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [07:00:00 11/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [07:00:00 11/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [07:00:00 11/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [07:00:00 11/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 8 v2: Combivent st: NotStopd t0: [07:00:00 11/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 10.1 u1: cmH2O st: NotStopd t0: [07:00:00 11/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 7.2 u1: L/min st: NotStopd t0: [07:00:00 11/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 11/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [07:00:00 11/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [07:00:00 11/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [07:00:00 11/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 11/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 320 u1: ml/B st: NotStopd t0: [07:00:00 11/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [07:00:00 11/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [07:00:00 11/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [07:00:00 11/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [07:00:00 11/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [07:00:00 11/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [08:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 11/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [08:00:00 11/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Anterior st: NotStopd t0: [08:00:00 11/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 11/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [08:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [08:00:00 11/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 11/12/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [08:00:00 11/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 11/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 11/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction v2: Pink Tinged st: NotStopd t0: [08:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [08:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 11/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 11/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [08:00:00 11/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 11/12/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 11/12/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [08:00:00 11/12/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 11/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 11/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 11/12/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 11/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 11/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 11/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 11/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 11/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 11/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 11/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 11/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 163 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [08:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 98 u1: mmHg st: NotStopd t0: [08:00:00 11/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 11/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 11/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 11/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 11/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [08:00:00 11/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 11/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 11/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 11/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 11/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 11/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [08:00:00 11/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 11/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Cloudy st: NotStopd t0: [08:00:00 11/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 11/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 11/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 11/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Straw st: NotStopd t0: [08:00:00 11/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 11/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [08:00:00 11/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 15 cm st: NotStopd
t0: [08:00:00 11/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [08:00:00 11/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [08:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [08:00:00 11/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 11/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 35.9444 u1: Deg. C st: NotStopd t0: [08:00:00 11/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 96.7 u1: Deg. F st: NotStopd
t0: [09:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 11/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 32 u1: mmHg st: NotStopd t0: [09:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 11/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [09:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [09:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [09:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [09:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 165 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [09:00:00 11/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [09:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [09:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 11/12/2009] id: Procedures el: 0 cu: CSRU cg: -1 v1: Bronchoscopy st: NotStopd t0: [09:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [09:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 11/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [09:00:00 11/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [09:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [09:00:00 11/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 11/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd
t0: [08:00:00 11/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 1 u1: torr st: NotStopd t0: [09:00:00 11/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd
id: KCL el: 100 cu: CSRU cg: -1 io: D5/.45NS 10000.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
tf: [10:00:00 11/12/2009] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Midazolam HCl f1: INJ v1: 1 u1: mg tf: [12:00:00 21/12/2009] pt: Unit Dose rt: NG fr: QD fs: 10 dn: 1 m1: Lansoprazole Oral Solution f1: CAP v1: 30 u1: mg
id: D5/.45NS el: 1 cu: CSRU cg: -1 io: D5/.45NS 10000.0ml IV Infusions vo: 10000 du: ml rt: Intravenous Push
t0: [10:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 11/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [10:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [10:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [10:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [10:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 138 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [10:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [10:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [10:00:00 11/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [10:00:00 11/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 30 vu: ml t0: [10:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml t0: [10:00:00 11/12/2009] tf: [16:00:00 11/12/2009] dt: 360 id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 25 vu: ml
t0: [10:00:00 11/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 11/12/2009] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: -1 cv: 150 ap: none
t0: [11:01:00 11/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [11:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 11/12/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 22 u1: mmHg st: NotStopd t0: [11:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 11/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [11:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [11:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [11:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [11:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 160 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [11:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [11:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [11:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 11/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [11:00:00 11/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [11:00:00 11/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [11:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 20 vu: ml
t0: [11:00:00 11/12/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [10:53:00 11/12/2009] id: Vancomycin/Trough Drug Level el: 0 cu: CSRU cg: 3161 v1: 9.1 rs: Final st: NotStopd
t0: [12:00:00 11/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 11/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [12:00:00 11/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [12:00:00 11/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 11/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 11/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.0 mm st: NotStopd t0: [12:00:00 11/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 11/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 11/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [12:00:00 11/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [12:00:00 11/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 10.2 u1: cmH2O st: NotStopd t0: [12:00:00 11/12/2009] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 v1: 7.6 u1: L/min st: NotStopd t0: [12:00:00 11/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 11/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [12:00:00 11/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [12:00:00 11/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:00:00 11/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 11/12/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 0 u1: ml/B st: NotStopd t0: [12:00:00 11/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 380 u1: ml/B st: NotStopd t0: [12:00:00 11/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [12:00:00 11/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [12:00:00 11/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [12:00:00 11/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
id: KCL el: 101 cu: CSRU cg: RN io: D5/.45NS 1000.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
io: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ra: 60 ru: ml/hr
t0: [13:00:00 11/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
tf: [11:00:00 23/12/2009] pt: Unit Dose rt: PO fr: Q24H fs: 13 dn: 1 m1: Pantoprazole f1: TAB v1: 40 u1: mg
id: D5/.45NS el: 1 cu: CSRU cg: RN io: D5/.45NS 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [12:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 11/12/2009] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [12:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [12:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [12:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [12:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [12:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 11/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thin st: NotStopd t0: [12:00:00 11/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [13:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [13:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [13:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 11/12/2009] tf: [13:00:00 11/12/2009] dt: 60 id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml
t0: [12:00:00 11/12/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 11/12/2009] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 11/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 11/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 11/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 11/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 11/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 11/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [12:00:00 11/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 11/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 11/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [12:00:00 11/12/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 11/12/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [12:00:00 11/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 11/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 11/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 11/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 11/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 11/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 11/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 11/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 11/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 11/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 11/12/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 11/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 11/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 11/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 11/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 11/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 11/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 11/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 11/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 11/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 11/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 11/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [12:00:00 11/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 11/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 11/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 15 cm st: NotStopd t0: [13:00:00 11/12/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN st: NotStopd t0: [13:00:00 11/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd
t0: [13:00:00 11/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 30 vu: ml st: Stopped t0: [13:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [12:00:00 11/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd
t0: [13:00:00 11/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 204 rs: Manual st: NotStopd
t0: [14:00:00 11/12/2009] id: INV#2Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 11/12/2009] id: INV Line#2 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 11/12/2009] id: INV Line#2 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 11/12/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 11/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 11/12/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 11/12/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 11/12/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [13:00:00 11/12/2009] id: Procedures el: 0 cu: CSRU cg: RN v1: Line Placement st: NotStopd t0: [14:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [14:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 11/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 18 st: NotStopd t0: [14:00:00 11/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [14:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 11/12/2009] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [14:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 11/12/2009] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Abdominal Xray st: NotStopd
t0: [14:00:00 11/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [14:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [14:00:00 11/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [14:00:00 11/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [15:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [15:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [15:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [15:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 11/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [15:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [15:00:00 11/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [15:00:00 11/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [15:00:00 11/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [15:00:00 11/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 11/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [15:00:00 11/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.0 mm st: NotStopd t0: [15:00:00 11/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [15:00:00 11/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [15:00:00 11/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [15:00:00 11/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [15:00:00 11/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 8 v2: Combivent st: NotStopd t0: [15:00:00 11/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [15:00:00 11/12/2009] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 v1: 7.5 u1: L/min st: NotStopd t0: [15:00:00 11/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [15:00:00 11/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [15:00:00 11/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [15:00:00 11/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [15:00:00 11/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [15:00:00 11/12/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 0 u1: ml/B st: NotStopd t0: [15:00:00 11/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 360 u1: ml/B st: NotStopd t0: [15:00:00 11/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [15:00:00 11/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [15:00:00 11/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [15:00:00 11/12/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd t0: [15:00:00 11/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [16:00:00 11/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd t0: [16:00:00 11/12/2009] id: Chest Tubes Left Pleural 2 el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [16:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [16:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [16:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [16:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [16:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 11/12/2009] id: Procedures el: 0 cu: CSRU cg: RN v1: Chest Tube D/C st: NotStopd t0: [16:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 11/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 11/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [16:00:00 11/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [16:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 11/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [16:00:00 11/12/2009] tf: [12:00:00 12/12/2009] dt: 1200 id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [16:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [16:30:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:30:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [16:30:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [16:30:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 63 u1: BPM st: NotStopd t0: [16:30:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:30:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:30:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:30:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:30:00 11/12/2009] id: Significant Events el: 0 cu: CSRU cg: RN v1: Extubated st: NotStopd t0: [16:30:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:30:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:45:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:45:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:45:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:45:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:45:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [16:45:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:45:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:45:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [16:45:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:45:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [16:45:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:45:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:50:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:50:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:50:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [16:50:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:50:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 165 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:50:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [16:50:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:50:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [16:50:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:50:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:55:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:55:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:55:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [16:55:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:55:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 202 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [16:55:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg st: NotStopd t0: [16:55:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:55:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [16:55:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [16:55:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 11/12/2009] id: CVP el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [17:00:00 11/12/2009] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [16:00:00 11/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 11/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 11/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 11/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 11/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:30:00 11/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Tenacious st: NotStopd t0: [16:30:00 11/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 11/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [17:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 11/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [17:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 234 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [17:00:00 11/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: IV Push st: NotStopd t0: [17:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg st: NotStopd t0: [17:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [17:00:00 11/12/2009] id: Significant Events el: 0 cu: CSRU cg: RN v1: Intubated st: NotStopd t0: [17:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 11/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN st: NotStopd t0: [17:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:15:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:15:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:15:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:15:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:15:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [17:15:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:15:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [17:15:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [17:15:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:15:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:15:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:15:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:30:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:30:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:30:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [17:30:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [17:30:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [17:30:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:30:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:30:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:30:00 11/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Tenacious st: NotStopd t0: [17:30:00 11/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:30:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 11/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [17:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [17:00:00 11/12/2009] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [18:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [18:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [18:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [18:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml
t0: [18:00:00 11/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 11/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 11/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 18 dn: 1 m1: Midazolam HCl f1: INJ v1: 2 u1: mg
t0: [16:00:00 11/12/2009] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [16:00:00 11/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 11/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 11/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 11/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Brown st: NotStopd t0: [16:00:00 11/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 11/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 11/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [16:00:00 11/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 11/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 18 st: NotStopd t0: [16:00:00 11/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [16:00:00 11/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 11/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 11/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 11/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 11/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 11/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 11/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 11/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [16:00:00 11/12/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 11/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 11/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 11/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 11/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 11/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 11/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 11/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 11/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [16:00:00 11/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 11/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 11/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 11/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:00:00 11/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 11/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 15 cm st: NotStopd t0: [17:00:00 11/12/2009] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [17:00:00 11/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [17:00:00 11/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [17:00:00 11/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 11/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [17:00:00 11/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Ins/Exp Wheeze st: NotStopd
t0: [18:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [16:30:00 11/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [16:30:00 11/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [16:30:00 11/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [16:30:00 11/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: lpm st: NotStopd t0: [17:30:00 11/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [17:30:00 11/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [17:30:00 11/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [17:30:00 11/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [17:30:00 11/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [17:30:00 11/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [17:30:00 11/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [17:30:00 11/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [17:30:00 11/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [17:30:00 11/12/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: SQUARE st: NotStopd
t0: [17:00:00 11/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [17:00:00 11/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [17:00:00 11/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 11/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [17:00:00 11/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 11/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [17:00:00 11/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [17:00:00 11/12/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [17:00:00 11/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [17:00:00 11/12/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 8 u1: BPM st: NotStopd t0: [18:00:00 11/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [18:00:00 11/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [18:00:00 11/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [18:00:00 11/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [18:00:00 11/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [18:00:00 11/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [18:00:00 11/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 11.2 u1: cmH2O st: NotStopd t0: [18:00:00 11/12/2009] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 v1: 7.8 u1: L/min st: NotStopd t0: [18:00:00 11/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [18:00:00 11/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 11/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 10 u1: . st: NotStopd t0: [18:00:00 11/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [18:00:00 11/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [18:00:00 11/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [18:00:00 11/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 380 u1: ml/B st: NotStopd t0: [18:00:00 11/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [18:00:00 11/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [18:00:00 11/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 142 rs: Manual st: NotStopd
t0: [19:00:00 11/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [19:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 11/12/2009] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [19:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [19:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [19:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [19:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 11/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Changed st: NotStopd
t0: [19:00:00 11/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [19:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [20:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 11/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [20:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 133 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [20:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [20:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 11/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [20:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [20:00:00 11/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [20:00:00 11/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [20:00:00 11/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [20:00:00 11/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [20:00:00 11/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 11/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 11/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [20:00:00 11/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 11/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 11/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [20:00:00 11/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [20:00:00 11/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 10.2 u1: cmH2O st: NotStopd t0: [20:00:00 11/12/2009] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 v1: 8.1 u1: L/min st: NotStopd t0: [20:00:00 11/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: lpm st: NotStopd t0: [20:00:00 11/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 11/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 10 u1: . st: NotStopd t0: [20:00:00 11/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [20:00:00 11/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [20:00:00 11/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [20:00:00 11/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 360 u1: ml/B st: NotStopd t0: [20:00:00 11/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [20:00:00 11/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [20:00:00 11/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [20:00:00 11/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [21:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 135 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [21:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [21:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd
t0: [21:00:00 11/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [21:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 160 vu: ml
t0: [20:00:00 11/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [20:00:00 11/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [21:00:00 11/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [21:00:00 11/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [21:00:00 11/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [21:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [22:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 135 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [22:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [22:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [22:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [22:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [23:00:00 11/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 11/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 11/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 11/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [23:00:00 11/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 11/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 143 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 11/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [23:00:00 11/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 11/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [23:00:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [23:00:00 11/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 11/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [23:00:00 11/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [23:00:00 11/12/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: -1 pv: 100 cv: 100 ap: none t0: [23:00:00 11/12/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: -1 pv: 100 cv: 1635 ap: none t0: [23:00:00 11/12/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: -1 pv: 100 cv: 1785 ap: none
t0: [23:23:00 11/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [23:23:00 11/12/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.5306 u1: ml/dl st: NotStopd t0: [23:23:00 11/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [23:23:00 11/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [23:23:00 11/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [23:23:00 11/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 188 u1: mmHg rs: Final st: NotStopd t0: [23:23:00 11/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [23:23:00 11/12/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 95 u1: % rs: Final st: NotStopd
t0: [23:38:00 11/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [23:38:00 11/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [23:38:00 11/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [23:38:00 11/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [23:38:00 11/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [23:38:00 11/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [23:38:00 11/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [23:38:00 11/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [23:38:00 11/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [23:38:00 11/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [23:38:00 11/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [23:38:00 11/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 9.4 u1: cmH2O st: NotStopd t0: [23:38:00 11/12/2009] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 v1: 6.7 u1: L/min st: NotStopd t0: [23:38:00 11/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: lpm st: NotStopd t0: [23:38:00 11/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [23:38:00 11/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [23:38:00 11/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [23:38:00 11/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [23:38:00 11/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [23:38:00 11/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [23:38:00 11/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 310 u1: ml/B st: NotStopd t0: [23:38:00 11/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [23:38:00 11/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [23:38:00 11/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [23:38:00 11/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [20:00:00 11/12/2009] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [20:00:00 11/12/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 11/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 11/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 11/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 11/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [20:00:00 11/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 11/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [20:00:00 11/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 11/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 11/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 11/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 11/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [20:00:00 11/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 11/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 11/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 11/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 11/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/12/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 11/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 11/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 11/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 11/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 11/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 11/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 11/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 11/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 11/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 11/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 11/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 11/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [20:00:00 11/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 11/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 11/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 11/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 11/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd t0: [20:00:00 11/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [22:00:00 11/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [22:00:00 11/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [23:23:00 11/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: -1 v1: 0.96 rs: Final st: NotStopd t0: [23:23:00 11/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.2 rs: Final st: NotStopd
t0: [20:00:00 11/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [22:00:00 11/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [22:30:00 11/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 200 vu: ml t0: [23:00:00 11/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 107 vo: 120 vu: ml
t0: [23:00:00 11/12/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: -1 pv: 280 cv: 280 ap: none t0: [23:00:00 11/12/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: -1 pv: 260 cv: 2090 ap: none t0: [23:00:00 11/12/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: -1 pv: 380 cv: 2270 ap: none t0: [23:00:00 11/12/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 pv: 120 cv: 180 ap: none t0: [23:00:00 11/12/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: -1 pv: 280 cv: 485 ap: none t0: [23:00:00 11/12/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: -1 pv: 280 cv: 3131 ap: none
t0: [00:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [00:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 138 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [00:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [00:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 12/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [00:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [00:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 180 vu: ml
t0: [20:00:00 11/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 11/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 11/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 11/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [20:00:00 11/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 11/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 11/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [20:00:00 11/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Right Hand v2: 22 gauge st: NotStopd t0: [20:00:00 11/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 11/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 11/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 11/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 11/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 11/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [22:00:00 11/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 11/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 11/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 11/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [22:00:00 11/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 11/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [00:00:00 12/12/2009] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [00:00:00 12/12/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 12/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 12/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 12/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 12/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction v2: Brown st: NotStopd t0: [00:00:00 12/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 12/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 12/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 12/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 12/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [00:00:00 12/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 12/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 12/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sleeping st: NotStopd t0: [00:00:00 12/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 12/12/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 12/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 12/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 12/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 12/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 12/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 12/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 12/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 12/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 12/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 12/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 12/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 12/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [00:00:00 12/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 12/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 12/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 12/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd t0: [00:00:00 12/12/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 12/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 12/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [00:00:00 12/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 12/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [00:00:00 12/12/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 14 u1: number st: NotStopd t0: [00:00:00 12/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [00:00:00 12/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [01:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 12/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [01:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [01:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 12/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [01:00:00 12/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [01:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 144 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [01:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [01:00:00 12/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [01:00:00 12/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [01:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [01:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 12/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [01:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [01:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 180 vu: ml
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: ONCE fs: 1 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq
t0: [23:30:00 11/12/2009] id: Vancomycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 47.8 rs: Final st: NotStopd
t0: [01:19:00 12/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [01:19:00 12/12/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.9637 u1: ml/dl st: NotStopd t0: [01:19:00 12/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [01:19:00 12/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [01:19:00 12/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [01:19:00 12/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 179 u1: mmHg rs: Final st: NotStopd t0: [01:19:00 12/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [01:19:00 12/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [01:19:00 12/12/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [01:00:00 12/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [01:00:00 12/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [01:00:00 12/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.4 u1: Deg. F st: NotStopd
t0: [02:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [02:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 152 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [02:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [02:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [02:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [02:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 160 vu: ml
t0: [02:30:00 12/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 rs: Final st: NotStopd t0: [02:30:00 12/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.1 u1: % rs: Final st: NotStopd t0: [02:30:00 12/12/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.7 u1: gm/dl rs: Final st: NotStopd t0: [02:30:00 12/12/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 174 rs: Final st: NotStopd t0: [02:30:00 12/12/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.92 u1: /mic l rs: Final st: NotStopd t0: [02:30:00 12/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 rs: Final st: NotStopd
t0: [03:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [03:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [03:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [03:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 139 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [03:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [03:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [03:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [03:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [02:30:00 12/12/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [02:30:00 12/12/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [02:30:00 12/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [02:30:00 12/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [02:30:00 12/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.4 rs: Final st: NotStopd t0: [02:30:00 12/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [02:30:00 12/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [02:30:00 12/12/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.7 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 12/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [02:30:00 12/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd
t0: [04:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [04:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [04:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [04:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 145 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [04:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [04:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [04:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [04:00:00 12/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [04:00:00 12/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [04:00:00 12/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [04:00:00 12/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [04:00:00 12/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 12/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 12/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [04:00:00 12/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 12/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 12/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [04:00:00 12/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [04:00:00 12/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 7.8 u1: cmH2O st: NotStopd t0: [04:00:00 12/12/2009] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 v1: 6.2 u1: L/min st: NotStopd t0: [04:00:00 12/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: lpm st: NotStopd t0: [04:00:00 12/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 12/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [04:00:00 12/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [04:00:00 12/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [04:00:00 12/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [04:00:00 12/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 305 u1: ml/B st: NotStopd t0: [04:00:00 12/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [04:00:00 12/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [04:00:00 12/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [04:00:00 12/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [03:00:00 12/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [03:00:00 12/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [05:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 138 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [05:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [05:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 12/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [05:00:00 12/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.1667 u1: Deg. C st: NotStopd t0: [05:00:00 12/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.1 u1: Deg. F st: NotStopd t0: [05:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 12/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [05:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [05:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [06:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 12/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [06:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 12/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 12/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 12/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 12/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 12/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 12/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 12/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 12/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [06:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 115 vu: ml
t0: [05:00:00 12/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 155 rs: Manual st: NotStopd t0: [06:00:00 12/12/2009] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd
t0: [06:00:00 12/12/2009] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Small
t0: [23:00:00 12/12/2009] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [06:30:00 12/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 137cs rs: Manual st: NotStopd
t0: [04:00:00 12/12/2009] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [04:00:00 12/12/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 12/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 12/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 12/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 12/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [04:00:00 12/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 12/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction v2: Brown st: NotStopd t0: [04:00:00 12/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 12/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 12/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 12/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 12/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 12/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 12/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 12/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 12/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 12/12/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 12/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 12/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 12/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 12/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 12/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 12/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 12/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 12/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 12/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 12/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 12/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 12/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [04:00:00 12/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 12/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 12/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 12/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 12/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd t0: [04:00:00 12/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd
t0: [07:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [07:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 126 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [07:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [07:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [07:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 12/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [07:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [07:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [05:00:00 12/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [05:00:00 12/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [08:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [08:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [08:00:00 12/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 12/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [08:00:00 12/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.1 u1: Deg. F st: NotStopd
t0: [09:00:00 12/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [09:00:00 12/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [09:00:00 12/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [09:00:00 12/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [09:00:00 12/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 12/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [09:00:00 12/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [09:00:00 12/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [09:00:00 12/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [09:00:00 12/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [09:00:00 12/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [09:00:00 12/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 8 v2: Combivent st: NotStopd t0: [09:00:00 12/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 9.1 u1: cmH2O st: NotStopd t0: [09:00:00 12/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 5.5 u1: L/min st: NotStopd t0: [09:00:00 12/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: lpm st: NotStopd t0: [09:00:00 12/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 12/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [09:00:00 12/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [09:00:00 12/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [09:00:00 12/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [09:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 12/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 340 u1: ml/B st: NotStopd t0: [09:00:00 12/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [09:00:00 12/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [09:00:00 12/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [09:00:00 12/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [09:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 57 u1: BPM st: NotStopd t0: [09:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [09:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [09:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [09:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 4 u1: BPM st: NotStopd t0: [09:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 59 u1: BPM st: NotStopd t0: [10:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [10:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [10:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [10:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [11:00:00 12/12/2009] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:00:00 12/12/2009] id: INV Line#1 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:00:00 12/12/2009] id: Inc Cleansing #1 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [11:00:00 12/12/2009] id: Packed RBC's IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [10:00:00 12/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 12/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 12/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [10:00:00 12/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 6 u1: points st: NotStopd t0: [10:00:00 12/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [10:00:00 12/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [10:00:00 12/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 12/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [10:00:00 12/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [10:00:00 12/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 12/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [10:00:00 12/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 12/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 18 st: NotStopd t0: [10:00:00 12/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [10:00:00 12/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 12/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 12/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 12/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [10:00:00 12/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [10:00:00 12/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 12/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 12/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [10:00:00 12/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [10:00:00 12/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 12/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 12/12/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/12/2009] id: Procedures el: 0 cu: CSRU cg: RN v1: Bronchoscopy st: NotStopd t0: [10:00:00 12/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 12/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 12/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 12/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 12/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 12/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 12/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 12/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 12/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [10:00:00 12/12/2009] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [10:00:00 12/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 12/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 12/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 12/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [10:00:00 12/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [10:00:00 12/12/2009] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [10:00:00 12/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [10:00:00 12/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [10:00:00 12/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [10:00:00 12/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [10:00:00 12/12/2009] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [10:00:00 12/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [10:00:00 12/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [11:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [11:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Brady st: NotStopd t0: [11:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [11:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 12/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 12/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 12/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 12/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd
t0: [11:00:00 12/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 148 rs: Manual st: NotStopd
t0: [10:00:00 12/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 220 vu: ml t0: [10:00:00 12/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [11:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [11:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [10:00:00 12/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 1 u1: lpm st: NotStopd t0: [12:00:00 12/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [12:00:00 12/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [12:00:00 12/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [12:00:00 12/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [12:00:00 12/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 12/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 12/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [12:00:00 12/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 12/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 12/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [12:00:00 12/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [12:00:00 12/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8.9 u1: cmH2O st: NotStopd t0: [12:00:00 12/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 5.2 u1: L/min st: NotStopd t0: [12:00:00 12/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: lpm st: NotStopd t0: [12:00:00 12/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 12/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [12:00:00 12/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [12:00:00 12/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 12/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [12:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 12/12/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 0 u1: ml/B st: NotStopd t0: [12:00:00 12/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 330 u1: ml/B st: NotStopd t0: [12:00:00 12/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [12:00:00 12/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [12:00:00 12/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [12:00:00 12/12/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd t0: [12:00:00 12/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [12:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [12:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [12:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [12:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vu: ml st: Stopped t0: [12:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [13:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [13:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [13:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [13:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vu: ml st: Restart
t0: [13:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 10 vu: ml
t0: [14:00:00 12/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 12/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [14:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [14:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [14:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 12/12/2009] tf: [17:00:00 12/12/2009] dt: 180 id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [14:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [13:00:00 12/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [13:00:00 12/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [13:00:00 12/12/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [13:00:00 12/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [13:00:00 12/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [13:00:00 12/12/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd
t0: [14:00:00 12/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [14:00:00 12/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [14:00:00 12/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.2 u1: Deg. F st: NotStopd
t0: [12:00:00 12/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [12:00:00 12/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [14:00:00 12/12/2009] id: IV #1 D/C Date el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [14:00:00 12/12/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [14:00:00 12/12/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [14:00:00 12/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: Infiltrated st: NotStopd t0: [14:00:00 12/12/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd
t0: [14:00:00 12/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 12/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd
t0: [15:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [15:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [15:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [15:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [15:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [16:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [16:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [16:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 120 vu: ml t0: [16:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [17:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [17:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [17:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [17:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 12/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 107 vo: 30 vu: ml t0: [16:00:00 12/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 107 vo: 30 vu: ml t0: [17:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [14:00:00 12/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 12/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 12/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 12/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 12/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 12/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 12/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 12/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 12/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 12/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 12/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 12/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 12/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 12/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [16:00:00 12/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 12/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [16:00:00 12/12/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [16:00:00 12/12/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd
t0: [17:00:00 12/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [17:00:00 12/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [17:00:00 12/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [17:00:00 12/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [17:00:00 12/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 12/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 12/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [17:00:00 12/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [17:00:00 12/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [17:00:00 12/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [17:00:00 12/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [17:00:00 12/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [17:00:00 12/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8.7 u1: cmH2O st: NotStopd t0: [17:00:00 12/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 4.8 u1: L/min st: NotStopd t0: [17:00:00 12/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: lpm st: NotStopd t0: [17:00:00 12/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 12/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [17:00:00 12/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [17:00:00 12/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [17:00:00 12/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 12/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thin st: NotStopd t0: [17:00:00 12/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [17:00:00 12/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 340 u1: ml/B st: NotStopd t0: [17:00:00 12/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [17:00:00 12/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [17:00:00 12/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [17:00:00 12/12/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd t0: [17:00:00 12/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [16:00:00 12/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/12/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [16:00:00 12/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Periumbilical st: NotStopd t0: [16:00:00 12/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [16:00:00 12/12/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [18:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [18:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [18:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [18:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [18:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 12/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 12/12/2009] tf: [10:34:00 18/12/2009] dt: 8194 id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [18:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [18:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [18:00:00 12/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [18:00:00 12/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [18:00:00 12/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [19:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [19:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [19:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [19:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [19:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [19:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [19:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:05:00 12/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [19:05:00 12/12/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.927 u1: ml/dl st: NotStopd t0: [19:05:00 12/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [19:05:00 12/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [19:05:00 12/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [19:05:00 12/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 162 u1: mmHg rs: Final st: NotStopd t0: [19:05:00 12/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [19:05:00 12/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [19:05:00 12/12/2009] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [19:05:00 12/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [19:05:00 12/12/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [17:00:00 12/12/2009] id: Gastric Oral Gastric el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [19:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [14:00:00 12/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 12/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [14:00:00 12/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 12/12/2009] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [14:00:00 12/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [14:00:00 12/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [14:00:00 12/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [14:00:00 12/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [14:00:00 12/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Pink st: NotStopd t0: [14:00:00 12/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 12/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [14:00:00 12/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [14:00:00 12/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 12/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 12/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Lethargic st: NotStopd t0: [14:00:00 12/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 12/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 12/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 12/12/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [14:00:00 12/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 12/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 12/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 12/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 12/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 12/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 12/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 12/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 12/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [14:00:00 12/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [14:00:00 12/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [14:00:00 12/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 12/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 12/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [14:00:00 12/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [18:00:00 12/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 12/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 12/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [18:00:00 12/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 12/12/2009] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [18:00:00 12/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [18:00:00 12/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [18:00:00 12/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [18:00:00 12/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [18:00:00 12/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Pink st: NotStopd t0: [18:00:00 12/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 12/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:00:00 12/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [18:00:00 12/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 12/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 12/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Lethargic st: NotStopd t0: [18:00:00 12/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 12/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 12/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [18:00:00 12/12/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 12/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [18:00:00 12/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 12/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 12/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 12/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 12/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 12/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 12/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 12/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 12/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 12/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [18:00:00 12/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [18:00:00 12/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [18:00:00 12/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 12/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 12/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [18:00:00 12/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd
t0: [18:30:00 12/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [18:30:00 12/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [18:30:00 12/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [18:30:00 12/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [18:30:00 12/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:30:00 12/12/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [18:30:00 12/12/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [18:30:00 12/12/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: Redness st: NotStopd
t0: [20:00:00 12/12/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 12/12/2009] id: % Inspir. Time el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 12/12/2009] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 12/12/2009] id: Pause Time % el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 12/12/2009] id: Peak Flow (Calc) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 12/12/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 12/12/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 12/12/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 12/12/2009] id: Remote Alarm el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 12/12/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 12/12/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 12/12/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 12/12/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 12/12/2009] id: Total PEEP Level el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 12/12/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 st: D/C'd
io: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ra: 20 ru: ml/hr
t0: [20:00:00 12/12/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: -1 ai: 103 vo: 0 st: D/C'd
id: Impact w/fiber el: 1 cu: CSRU cg: RN io: Impact w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [20:00:00 12/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 19cm v2: Lip st: NotStopd t0: [20:00:00 12/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 18 st: NotStopd t0: [20:00:00 12/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [20:00:00 12/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 35 u1: decFrc st: NotStopd t0: [20:00:00 12/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 12/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 12/12/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 12/12/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 12/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 12/12/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 18 st: NotStopd t0: [20:00:00 12/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [20:00:00 12/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 12/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7.8 u1: cmH2O st: NotStopd t0: [20:00:00 12/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [20:00:00 12/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 0.4 u1: lpm st: NotStopd t0: [20:00:00 12/12/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 12/12/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 12/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [20:00:00 12/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 12/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [20:00:00 12/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 12/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 1 u1: # st: NotStopd t0: [20:00:00 12/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [20:00:00 12/12/2009] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [19:00:00 12/12/2009] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [20:00:00 12/12/2009] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 12/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 12/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 12/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [20:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 12/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 12/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 12/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 12/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 12/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 63 u1: BPM st: NotStopd t0: [20:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 12/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 12/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [20:00:00 12/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 12/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [20:00:00 12/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 12/12/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [20:00:00 12/12/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [20:00:00 12/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 12/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 12/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 12/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 12/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 12/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 12/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 12/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 12/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [20:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [20:00:00 12/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 12/12/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 12/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 12/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 12/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 12/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 12/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 12/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 12/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 12/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 12/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 12/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 12/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 12/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 12/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 12/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Cooperative st: NotStopd t0: [20:00:00 12/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 12/12/2009] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 12/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 12/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 12/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 12/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 12/12/2009] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 12/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 12/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd
t0: [20:00:00 12/12/2009] tf: [10:34:00 18/12/2009] dt: 8074 id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 120 vu: ml t0: [20:00:00 12/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 0 vu: ml t0: [20:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [20:00:00 12/12/2009] id: Gastric Oral Gastric el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [21:00:00 12/12/2009] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [23:00:00 12/12/2009] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 100 ap: none
t0: [21:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [21:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [21:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [21:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [21:00:00 12/12/2009] tf: [08:00:00 15/12/2009] dt: 3540 id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 20 vu: ml t0: [21:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [21:00:00 12/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [21:00:00 12/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [21:00:00 12/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd
tf: [11:00:00 23/12/2009] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol f1: TAB v1: 25 u1: mg
id: TF Residual el: 1 cu: CSRU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [22:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [22:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [22:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 12/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 300 vu: ml t0: [22:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 40 vu: ml t0: [22:00:00 12/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 107 vo: 30 vu: ml t0: [22:00:00 12/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 20 vu: ml
t0: [23:00:00 12/12/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 150 ap: none
t0: [22:00:00 12/12/2009] tf: [02:00:00 13/12/2009] dt: 240 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 116 vo: 5 vu: ml
t0: [22:00:00 12/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 12/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 12/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 12/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [23:00:00 12/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 12/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [23:00:00 12/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 12/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [23:00:00 12/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [23:00:00 12/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 12/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 12/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 12/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [23:00:00 12/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [23:00:00 12/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [23:00:00 12/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml t0: [23:00:00 12/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 40 vu: ml t0: [23:00:00 12/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 20 vu: ml t0: [23:00:00 12/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml
t0: [23:00:00 12/12/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 75 cv: 75 ap: none t0: [23:00:00 12/12/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -15 cv: -15 ap: none t0: [23:00:00 12/12/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 40 cv: 2240 ap: none t0: [23:00:00 12/12/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 60 cv: 2450 ap: none t0: [23:00:00 12/12/2009] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 20 cv: 60 ap: none t0: [23:00:00 12/12/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 75 cv: 1670 ap: none t0: [23:00:00 12/12/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -15 cv: 680 ap: carryForward t0: [23:00:00 12/12/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 75 cv: 1770 ap: carryForward t0: [23:00:00 12/12/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -15 cv: 3811 ap: carryForward
t0: [23:00:00 12/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [23:00:00 12/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Tenacious st: NotStopd t0: [23:00:00 12/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [23:00:00 12/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 19cm v2: Lip st: NotStopd t0: [23:00:00 12/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 18 st: NotStopd t0: [23:00:00 12/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [23:00:00 12/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 35 u1: decFrc st: NotStopd t0: [23:00:00 12/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [23:00:00 12/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [23:00:00 12/12/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [23:00:00 12/12/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [23:00:00 12/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [23:00:00 12/12/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 18 st: NotStopd t0: [23:00:00 12/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [23:00:00 12/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 4 v2: Combivent st: NotStopd t0: [23:00:00 12/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [23:00:00 12/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [23:00:00 12/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 0.4 u1: lpm st: NotStopd t0: [23:00:00 12/12/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [23:00:00 12/12/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [23:00:00 12/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [23:00:00 12/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [23:00:00 12/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 360 u1: ml/B st: NotStopd t0: [23:00:00 12/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [23:00:00 12/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 1 u1: # st: NotStopd t0: [23:00:00 12/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [23:00:00 12/12/2009] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [00:00:00 13/12/2009] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 13/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 13/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 13/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [00:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 13/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 13/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 13/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 13/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 13/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [00:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 13/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 13/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [00:00:00 13/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 13/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [00:00:00 13/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 13/12/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [00:00:00 13/12/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [00:00:00 13/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 13/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 13/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 13/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 13/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 13/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 13/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 13/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 13/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [00:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [00:00:00 13/12/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 13/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 13/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 13/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 13/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 13/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 13/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 13/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 13/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 13/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 13/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 13/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 13/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 13/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 13/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd
t0: [00:00:00 13/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 20 vu: ml t0: [00:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [00:00:00 13/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 156 rs: Manual st: NotStopd
t0: [01:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [01:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [01:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [01:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [01:00:00 13/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 13/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 40 vu: ml t0: [01:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 20 vu: ml t0: [01:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [02:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [02:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [02:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [02:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [02:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 13/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 116 vo: 0 vu: ml t0: [02:00:00 13/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 40 vu: ml t0: [02:00:00 13/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 107 vo: 30 vu: ml t0: [02:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 20 vu: ml t0: [02:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [03:00:00 13/12/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 13/12/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 13/12/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 st: D/C'd
io: D5W IV Infusions el: 2 cu: CSRU cg: RN ra: 20 ru: ml/hr
id: D5W el: 2 cu: CSRU cg: RN io: D5W IV Infusions du: ml rt: Intravenous Push
t0: [02:00:00 13/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: IV Push st: NotStopd t0: [03:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 13/12/2009] id: ETT Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [03:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 13/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [03:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [03:00:00 13/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 13/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 13/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 13/12/2009] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 13/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 0 vu: ml t0: [03:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 40 vu: ml t0: [03:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml
t0: [03:00:00 13/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [03:00:00 13/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [03:00:00 13/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.8 u1: Deg. F st: NotStopd
t0: [03:06:00 13/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [03:06:00 13/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [03:06:00 13/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [03:06:00 13/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [03:06:00 13/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 145 u1: mmHg rs: Final st: NotStopd t0: [03:06:00 13/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [03:06:00 13/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.14 rs: Final st: NotStopd
t0: [02:00:00 13/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [02:00:00 13/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd
t0: [03:23:00 13/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.7 rs: Final st: NotStopd t0: [03:23:00 13/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27.3 u1: % rs: Final st: NotStopd t0: [03:23:00 13/12/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.3 u1: gm/dl rs: Final st: NotStopd t0: [03:23:00 13/12/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 178 rs: Final st: NotStopd t0: [03:23:00 13/12/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.83 u1: /mic l rs: Final st: NotStopd t0: [03:23:00 13/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.7 rs: Final st: NotStopd
t0: [04:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 13/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 19cm v2: Lip st: NotStopd t0: [04:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 13/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 18 st: NotStopd t0: [04:00:00 13/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [04:00:00 13/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 35 u1: decFrc st: NotStopd t0: [04:00:00 13/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [04:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 13/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 13/12/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 13/12/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 13/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 13/12/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 18 st: NotStopd t0: [04:00:00 13/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [04:00:00 13/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 13/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.1 u1: cmH2O st: NotStopd t0: [04:00:00 13/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [04:00:00 13/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 0.4 u1: lpm st: NotStopd t0: [04:00:00 13/12/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [04:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [04:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 13/12/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 13/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [04:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 13/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 13/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 370 u1: ml/B st: NotStopd t0: [04:00:00 13/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 13/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 1 u1: # st: NotStopd t0: [04:00:00 13/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [04:00:00 13/12/2009] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 13/12/2009] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd
t0: [04:00:00 13/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 13/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 107 vo: 30 vu: ml t0: [04:00:00 13/12/2009] tf: [10:34:00 18/12/2009] dt: 7594 id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [04:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 40 vu: ml t0: [04:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [23:00:00 13/12/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 60 ap: none
t0: [04:00:00 13/12/2009] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 13/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 13/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 13/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 13/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 13/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 13/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 13/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 13/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 13/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [04:00:00 13/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 13/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [04:00:00 13/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 13/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 13/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 13/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 13/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 13/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 13/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 13/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 13/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 13/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 13/12/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 13/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 13/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 13/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 13/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 13/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 13/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 13/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 13/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 13/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 13/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 13/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 13/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 13/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 13/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 13/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Cooperative st: NotStopd t0: [04:00:00 13/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [04:00:00 13/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Changed st: NotStopd t0: [05:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [05:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [05:00:00 13/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [05:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [05:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [05:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 13/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Tenacious st: NotStopd t0: [05:00:00 13/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [05:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 13/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [05:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 40 vu: ml t0: [05:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [04:00:00 13/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 13/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd
t0: [03:23:00 13/12/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [03:23:00 13/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [03:23:00 13/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [03:23:00 13/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.4 rs: Final st: NotStopd t0: [03:23:00 13/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 153 rs: Final st: NotStopd t0: [03:23:00 13/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [03:23:00 13/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [03:23:00 13/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd
t0: [06:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [06:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [06:00:00 13/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [06:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [06:00:00 13/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [06:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 13/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [06:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 40 vu: ml t0: [06:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [05:00:00 13/12/2009] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 13/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [06:00:00 13/12/2009] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [06:00:00 13/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 169 rs: Manual st: NotStopd
t0: [07:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [07:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [07:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [07:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [07:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 13/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [07:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 40 vu: ml t0: [07:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [08:00:00 13/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [08:00:00 13/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [08:00:00 13/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 45 u1: decFrc st: NotStopd t0: [08:00:00 13/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 35 u1: decFrc st: NotStopd t0: [08:00:00 13/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 13/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 13/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [08:00:00 13/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 13/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 13/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [08:00:00 13/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [08:00:00 13/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 13/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 9.2 u1: cmH2O st: NotStopd t0: [08:00:00 13/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 9.1 u1: L/min st: NotStopd t0: [08:00:00 13/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: lpm st: NotStopd t0: [08:00:00 13/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 13/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [08:00:00 13/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [08:00:00 13/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 13/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [08:00:00 13/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 13/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 340 u1: ml/B st: NotStopd t0: [08:00:00 13/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [08:00:00 13/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [08:00:00 13/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [08:00:00 13/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd
t0: [08:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [08:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [08:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 13/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 13/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 13/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 13/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [08:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 37 vu: ml
t0: [08:00:00 13/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 116 vu: ml t0: [08:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml
t0: [08:00:00 13/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 13/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 13/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 13/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 13/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 13/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 13/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 13/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 13/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 13/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 13/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 13/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 13/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 13/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 13/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 13/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 13/12/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 13/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 13/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 13/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 13/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 13/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 13/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 13/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 13/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 13/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 13/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 13/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 13/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Questioning st: NotStopd t0: [08:00:00 13/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 13/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd
t0: [08:00:00 13/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 13/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [08:00:00 13/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 13/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [08:00:00 13/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd
t0: [09:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [09:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [09:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [09:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [09:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 9 u1: BPM st: NotStopd t0: [09:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [10:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [10:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 37 vu: ml t0: [10:00:00 13/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [10:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 120 vu: ml t0: [10:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [10:00:00 13/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [10:00:00 13/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [11:00:00 13/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [11:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 13/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [11:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [11:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [11:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [11:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 13/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 116 vu: ml t0: [11:00:00 13/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [11:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [11:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [12:00:00 13/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [12:00:00 13/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 45 u1: decFrc st: NotStopd t0: [12:00:00 13/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 35 u1: decFrc st: NotStopd t0: [12:00:00 13/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 13/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 13/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [12:00:00 13/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 13/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 13/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [12:00:00 13/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [12:00:00 13/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8.8 u1: cmH2O st: NotStopd t0: [12:00:00 13/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 8.6 u1: L/min st: NotStopd t0: [12:00:00 13/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: lpm st: NotStopd t0: [12:00:00 13/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 13/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [12:00:00 13/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 13/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 13/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 350 u1: ml/B st: NotStopd t0: [12:00:00 13/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [12:00:00 13/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [12:00:00 13/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [12:00:00 13/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd
t0: [12:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [12:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [12:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [12:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [13:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [13:22:00 13/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [13:22:00 13/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [13:22:00 13/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [13:22:00 13/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [13:22:00 13/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 148 u1: mmHg rs: Final st: NotStopd t0: [13:22:00 13/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd
t0: [12:00:00 13/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 13/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 13/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [13:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [13:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [13:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:22:00 13/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.5 rs: Final st: NotStopd
t0: [14:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [14:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [14:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [14:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [14:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [15:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [15:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [15:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 13/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 116 vu: ml t0: [15:00:00 13/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 80 vu: ml t0: [15:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 120 vu: ml t0: [15:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [08:00:00 13/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 13/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 13/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves st: NotStopd t0: [08:00:00 13/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 13/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 13/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [11:00:00 13/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 13/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 13/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 13/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves st: NotStopd t0: [11:00:00 13/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [11:00:00 13/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [13:00:00 13/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [13:00:00 13/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [13:00:00 13/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves st: NotStopd t0: [13:00:00 13/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 13/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 13/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [15:00:00 13/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves st: NotStopd t0: [15:00:00 13/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd
t0: [12:00:00 13/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 13/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 13/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 13/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 13/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 13/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 13/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 13/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 13/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 13/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 13/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 13/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [12:00:00 13/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 13/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 13/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 13/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 13/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 13/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 13/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 13/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 13/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd
t0: [14:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [16:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [16:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [16:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 13/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [15:00:00 13/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [15:00:00 13/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 13/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [16:00:00 13/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 45 u1: decFrc st: NotStopd t0: [16:00:00 13/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 35 u1: decFrc st: NotStopd t0: [16:00:00 13/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 13/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 13/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [16:00:00 13/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 13/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 13/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [16:00:00 13/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [16:00:00 13/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8.6 u1: cmH2O st: NotStopd t0: [16:00:00 13/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 8.8 u1: L/min st: NotStopd t0: [16:00:00 13/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: lpm st: NotStopd t0: [16:00:00 13/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 13/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [16:00:00 13/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [16:00:00 13/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 13/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 330 u1: ml/B st: NotStopd t0: [16:00:00 13/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [16:00:00 13/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [16:00:00 13/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [16:00:00 13/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd
t0: [13:00:00 13/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [15:00:00 13/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 13/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [17:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [17:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 158 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [17:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [17:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [17:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [13:22:00 13/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 161 rs: Final st: NotStopd t0: [17:00:00 13/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 13/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd
t0: [18:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [18:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [18:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [18:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [18:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 13/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 60 vu: ml t0: [18:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 180 vu: ml t0: [18:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [18:00:00 13/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [18:00:00 13/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [18:00:00 13/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd
t0: [16:00:00 13/12/2009] id: Procedures el: 0 cu: CSRU cg: RN v1: Culture/remarks st: NotStopd
t0: [19:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 13/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Agitated st: NotStopd t0: [19:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [19:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [19:00:00 13/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [19:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [19:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [19:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 13/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [19:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [19:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [19:30:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 55 vu: ml
t0: [20:00:00 13/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [20:00:00 13/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [20:00:00 13/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 45 u1: decFrc st: NotStopd t0: [20:00:00 13/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 35 u1: decFrc st: NotStopd t0: [20:00:00 13/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 13/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 13/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [20:00:00 13/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 13/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 13/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [20:00:00 13/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [20:00:00 13/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 7.2 u1: cmH2O st: NotStopd t0: [20:00:00 13/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 6.8 u1: L/min st: NotStopd t0: [20:00:00 13/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: lpm st: NotStopd t0: [20:00:00 13/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 13/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [20:00:00 13/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [20:00:00 13/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 13/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 360 u1: ml/B st: NotStopd t0: [20:00:00 13/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [20:00:00 13/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [20:00:00 13/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [20:00:00 13/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd
t0: [19:00:00 13/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [19:00:00 13/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 13/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [19:00:00 13/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [19:00:00 13/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [19:00:00 13/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [19:00:00 13/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 13/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 13/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 13/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [20:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 13/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 13/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 13/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 13/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [20:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 13/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 13/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 13/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 13/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 13/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 13/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [20:00:00 13/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [20:00:00 13/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 13/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [20:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [20:00:00 13/12/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [20:00:00 13/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 13/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 13/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 13/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 13/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 13/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 13/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 13/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [20:00:00 13/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 13/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 13/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [20:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [20:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [21:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [21:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [21:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [21:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [21:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 13/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 200 vu: ml t0: [21:30:00 13/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 30 vu: ml t0: [21:30:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 90 vu: ml t0: [21:30:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml
t0: [21:30:00 13/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [21:30:00 13/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:30:00 13/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [21:30:00 13/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:30:00 13/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:30:00 13/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:30:00 13/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [21:30:00 13/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [21:59:00 13/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [21:59:00 13/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [21:59:00 13/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [21:59:00 13/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [21:59:00 13/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 140 u1: mmHg rs: Final st: NotStopd t0: [21:59:00 13/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd
t0: [22:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [22:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [22:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:30:00 13/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [23:00:00 13/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 13/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 13/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 13/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 13/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [23:00:00 13/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 13/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 13/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [23:00:00 13/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 13/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [23:00:00 13/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 13/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 13/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 13/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 90 vu: ml t0: [23:00:00 13/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml
t0: [23:00:00 13/12/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 360 cv: 360 ap: none t0: [23:00:00 13/12/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -160 cv: -160 ap: none t0: [23:00:00 13/12/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 110 cv: 1050 ap: none t0: [23:00:00 13/12/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 200 cv: 2270 ap: none t0: [23:00:00 13/12/2009] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 90 cv: 1160 ap: none t0: [23:00:00 13/12/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 360 cv: 1714 ap: none t0: [23:00:00 13/12/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -160 cv: 556 ap: none t0: [23:00:00 13/12/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 360 cv: 1714 ap: none t0: [23:00:00 13/12/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -160 cv: 4367 ap: carryForward t0: [23:00:00 14/12/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 235 cv: 4940 ap: carryForward
t0: [23:00:00 13/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [23:00:00 13/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [00:00:00 14/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [00:00:00 14/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [00:00:00 14/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 45 u1: decFrc st: NotStopd t0: [00:00:00 14/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 35 u1: decFrc st: NotStopd t0: [00:00:00 14/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 14/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 14/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [00:00:00 14/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 14/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 14/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [00:00:00 14/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [00:00:00 14/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 14/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 9.2 u1: cmH2O st: NotStopd t0: [00:00:00 14/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 8.1 u1: L/min st: NotStopd t0: [00:00:00 14/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: lpm st: NotStopd t0: [00:00:00 14/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 14/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [00:00:00 14/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 14/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 14/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 386 u1: ml/B st: NotStopd t0: [00:00:00 14/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [00:00:00 14/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [00:00:00 14/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [00:00:00 14/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd
t0: [00:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [00:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [00:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [00:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [00:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 14/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 170 rs: Manual st: NotStopd
t0: [20:00:00 13/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 13/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 13/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 13/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [22:00:00 13/12/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 13/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 13/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 13/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 13/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 13/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 14/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 14/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 14/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 14/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 14/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 14/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 14/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 14/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Lethargic st: NotStopd t0: [00:00:00 14/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 14/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [00:00:00 14/12/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 14/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 14/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 14/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 14/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 14/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 14/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 14/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 14/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [00:00:00 14/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 14/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [01:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [01:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [01:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [00:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [01:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [01:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [01:00:00 14/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [01:00:00 14/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [01:00:00 14/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.4 u1: Deg. F st: NotStopd
t0: [02:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [02:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [02:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [02:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 14/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [02:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [03:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [03:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [03:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 74 u1: kg st: NotStopd t0: [03:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [04:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [04:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 14/12/2009] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [04:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [04:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 14/12/2009] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [04:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/12/2009] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd
t0: [22:00:00 13/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [23:00:00 13/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [00:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [01:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [02:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [03:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [03:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [03:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [04:00:00 14/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [04:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [04:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [04:00:00 14/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [04:00:00 14/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [04:00:00 14/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 45 u1: decFrc st: NotStopd t0: [04:00:00 14/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 35 u1: decFrc st: NotStopd t0: [04:00:00 14/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 14/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 14/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [04:00:00 14/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 14/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 14/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [04:00:00 14/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [04:00:00 14/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 14/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8.9 u1: cmH2O st: NotStopd t0: [04:00:00 14/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 7.8 u1: L/min st: NotStopd t0: [04:00:00 14/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: lpm st: NotStopd t0: [04:00:00 14/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 14/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [04:00:00 14/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [04:00:00 14/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 14/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [04:00:00 14/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 14/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 355 u1: ml/B st: NotStopd t0: [04:00:00 14/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [04:00:00 14/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [04:00:00 14/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [04:00:00 14/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd
t0: [00:00:00 14/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 14/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 14/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 14/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [02:00:00 14/12/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 14/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 14/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 14/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 14/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 14/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 14/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 14/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 14/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 14/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 14/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 5 u1: points st: NotStopd t0: [04:00:00 14/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 14/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 14/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 14/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 14/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 14/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 14/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 14/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 14/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 14/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [04:00:00 14/12/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 14/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 14/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 14/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 14/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 14/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 14/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 14/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 14/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Pink v2: Cloudy st: NotStopd t0: [04:00:00 14/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 14/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 14/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [04:00:00 14/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [05:00:00 14/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 14/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 14/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 14/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 14/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 14/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [05:00:00 14/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 14/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 14/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [05:00:00 14/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [05:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 61 u1: BPM st: NotStopd t0: [05:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [05:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [05:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [05:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:56:00 14/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [04:56:00 14/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [04:56:00 14/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [04:56:00 14/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [04:56:00 14/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 123 u1: mmHg rs: Final st: NotStopd t0: [04:56:00 14/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [04:56:00 14/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.11 rs: Final st: NotStopd
t0: [05:05:00 14/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 13.9 rs: Final st: NotStopd t0: [05:05:00 14/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26.9 u1: % rs: Final st: NotStopd t0: [05:05:00 14/12/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.2 u1: gm/dl rs: Final st: NotStopd t0: [05:05:00 14/12/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 269 rs: Final st: NotStopd t0: [05:05:00 14/12/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.77 u1: /mic l rs: Final st: NotStopd t0: [05:05:00 14/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 13.9 rs: Final st: NotStopd
t0: [05:05:00 14/12/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9 rs: Final st: NotStopd t0: [05:05:00 14/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [05:05:00 14/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [05:05:00 14/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [05:05:00 14/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 163 rs: Final st: NotStopd t0: [05:05:00 14/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [05:05:00 14/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [05:05:00 14/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd
t0: [06:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [06:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [06:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [06:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [06:00:00 14/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 20 vu: ml t0: [06:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 40 vu: ml t0: [06:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 120 vu: ml t0: [06:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [07:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [07:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [07:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [07:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [07:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [07:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [07:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 14/12/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 14/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 14/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 14/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 14/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [08:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 14/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [08:00:00 14/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 14/12/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [08:00:00 14/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 14/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 14/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [08:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [08:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 14/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 14/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 14/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 14/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 14/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 14/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 14/12/2009] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 14/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 14/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 14/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 14/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [08:00:00 14/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 14/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 14/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [08:00:00 14/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 14/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 14/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 14/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 14/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: lpm st: NotStopd t0: [08:00:00 14/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 14/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 14/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [08:00:00 14/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 136 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [08:00:00 14/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Incisional st: NotStopd t0: [08:00:00 14/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Aching st: NotStopd t0: [08:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 14/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 14/12/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 14/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 14/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [08:00:00 14/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 14/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 14/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 14/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 14/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [08:00:00 14/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 14/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 14/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 14/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 14/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 14/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [08:00:00 14/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [08:00:00 14/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Cloudy st: NotStopd t0: [08:00:00 14/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 14/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [08:00:00 14/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [08:00:00 14/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 14/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [08:00:00 14/12/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 14/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 14/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 14/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 14/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 14/12/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 14 u1: number st: NotStopd t0: [08:00:00 14/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 14/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd
t0: [08:00:00 14/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 20 vu: ml t0: [08:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 40 vu: ml t0: [08:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 189 vo: 120 vu: ml t0: [08:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [08:00:00 14/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 14/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 14/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 14/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98 u1: Deg. F st: NotStopd
t0: [08:00:00 14/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [08:00:00 14/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 19 st: NotStopd t0: [08:00:00 14/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [08:00:00 14/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [09:00:00 14/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [09:00:00 14/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 35 u1: decFrc st: NotStopd t0: [09:00:00 14/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 14/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [09:00:00 14/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [09:00:00 14/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [09:00:00 14/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [09:00:00 14/12/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 14/12/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [09:00:00 14/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [09:00:00 14/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 14/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [09:00:00 14/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:00:00 14/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 1 u1: # st: NotStopd t0: [09:00:00 14/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [09:00:00 14/12/2009] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [09:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 14/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [09:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [09:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 152 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [09:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [09:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [09:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 14/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [09:00:00 14/12/2009] tf: [00:00:00 15/12/2009] dt: 900 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 116 vo: 10 vu: ml t0: [09:00:00 14/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [09:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 20 vu: ml t0: [09:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 189 vo: 60 vu: ml
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 9 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [08:00:00 14/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 st: NotStopd
t0: [10:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [10:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 154 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [10:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [10:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [10:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml t0: [10:00:00 14/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 10 vu: ml t0: [10:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 20 vu: ml t0: [10:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 189 vo: 60 vu: ml t0: [10:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [10:00:00 14/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 14/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [10:00:00 14/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [10:00:00 14/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [10:00:00 14/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [10:00:00 14/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 14/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 14/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [10:00:00 14/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [10:00:00 14/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [10:00:00 14/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [10:00:00 14/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [10:00:00 14/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: lpm st: NotStopd t0: [10:00:00 14/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 14/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 14/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [10:00:00 14/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 14/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [10:00:00 14/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [10:00:00 14/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 14/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [10:00:00 14/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 14/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 14/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 14/12/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 14/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Clear v2: Thin st: NotStopd t0: [10:00:00 14/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 14/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [10:00:00 14/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 14/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [10:00:00 14/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [10:00:00 14/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [10:00:00 14/12/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd
t0: [11:00:00 14/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [11:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [11:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 189 vo: 60 vu: ml t0: [11:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [11:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [11:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 58 u1: BPM st: NotStopd t0: [11:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Brady st: NotStopd t0: [11:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [11:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [11:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [11:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [11:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 14/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 14/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 14/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 14/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 14/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 14/12/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 14/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 14/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 14/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [12:00:00 14/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [12:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 14/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 14/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 14/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [12:00:00 14/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 14/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 14/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [12:00:00 14/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 14/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 14/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 14/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 14/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 14/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 14/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [12:00:00 14/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 139 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 14/12/2009] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [12:00:00 14/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [12:00:00 14/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [12:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [12:00:00 14/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 14/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 14/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [12:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [12:00:00 14/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 14/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 14/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 14/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 14/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 14/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 14/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 14/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 14/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Friend st: NotStopd t0: [12:00:00 14/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.9444 u1: Deg. C st: NotStopd t0: [12:00:00 14/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.5 u1: Deg. F st: NotStopd t0: [12:00:00 14/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [12:00:00 14/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Cloudy st: NotStopd t0: [12:00:00 14/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 14/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [12:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 14/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd
t0: [12:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [12:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 189 vo: 60 vu: ml t0: [12:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 35 vu: ml
t0: [12:00:00 14/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 14/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [12:00:00 14/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 14/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 14/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 19 st: NotStopd t0: [12:00:00 14/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 14/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 st: NotStopd
t0: [12:15:00 14/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 19cm v2: Lip st: NotStopd t0: [12:15:00 14/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 18 st: NotStopd t0: [12:15:00 14/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [12:15:00 14/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [12:15:00 14/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:15:00 14/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:15:00 14/12/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:15:00 14/12/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:15:00 14/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:15:00 14/12/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 18 st: NotStopd t0: [12:15:00 14/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [12:15:00 14/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7 u1: L/min st: NotStopd t0: [12:15:00 14/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 0.4 u1: lpm st: NotStopd t0: [12:15:00 14/12/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:15:00 14/12/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:15:00 14/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [12:15:00 14/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:15:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:15:00 14/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 330 u1: ml/B st: NotStopd t0: [12:15:00 14/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:15:00 14/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 1 u1: # st: NotStopd t0: [12:15:00 14/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [12:15:00 14/12/2009] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [12:15:00 14/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [12:15:00 14/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [12:15:00 14/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [12:15:00 14/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd
t0: [12:15:00 14/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 183 rs: Final st: NotStopd t0: [12:15:00 14/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26 u1: % rs: Final st: NotStopd t0: [12:15:00 14/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [12:15:00 14/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [13:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 14/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [13:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [13:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 136 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [13:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [13:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [13:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 189 vo: 60 vu: ml t0: [13:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [13:00:00 14/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [13:00:00 14/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [13:15:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:15:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:15:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [13:15:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:15:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 139 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:15:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [13:15:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:15:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [13:15:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [13:15:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:15:00 14/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [13:15:00 14/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [13:15:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 14/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [14:00:00 14/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [14:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [14:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 14/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 14/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 14/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [14:00:00 14/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [14:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 133 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 14/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [14:00:00 14/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [14:00:00 14/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [14:00:00 14/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [14:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [14:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 14/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.7222 u1: Deg. C st: NotStopd t0: [14:00:00 14/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.1 u1: Deg. F st: NotStopd t0: [14:00:00 14/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 14/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [14:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 14/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd
t0: [14:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [14:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 189 vo: 60 vu: ml t0: [14:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [15:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 14/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [15:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 147 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [15:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [15:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [15:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [15:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [15:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 189 vo: 60 vu: ml t0: [15:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
id: Packed RBC's el: 2 cu: CSRU cg: -1 io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [17:20:00 14/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 19cm v2: Lip st: NotStopd t0: [17:20:00 14/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 18 st: NotStopd t0: [17:20:00 14/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [17:20:00 14/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [17:20:00 14/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:20:00 14/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:20:00 14/12/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:20:00 14/12/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [17:20:00 14/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:20:00 14/12/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 18 st: NotStopd t0: [17:20:00 14/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [17:20:00 14/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [17:20:00 14/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 0.4 u1: lpm st: NotStopd t0: [17:20:00 14/12/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:20:00 14/12/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [17:20:00 14/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [17:20:00 14/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:20:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [17:20:00 14/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [17:20:00 14/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [17:20:00 14/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 330 u1: ml/B st: NotStopd t0: [17:20:00 14/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:20:00 14/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 1 u1: # st: NotStopd t0: [17:20:00 14/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [17:20:00 14/12/2009] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [16:00:00 14/12/2009] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [16:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 14/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 14/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 14/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [16:00:00 14/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 14/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [16:00:00 14/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 14/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Ecchymotic st: NotStopd t0: [16:00:00 14/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 14/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 14/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 14/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 14/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 14/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 14/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 14/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [16:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 14/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 14/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 14/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 14/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 14/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 14/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 14/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 14/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 14/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Friend st: NotStopd t0: [16:00:00 14/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 14/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 14/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [16:00:00 14/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [16:00:00 14/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [18:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 14/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [18:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 14/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [18:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [18:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 14/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [18:00:00 14/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [18:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 108 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [18:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [18:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [18:00:00 14/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [18:00:00 14/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [18:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [18:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [18:00:00 14/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [18:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 400 vu: ml t0: [18:00:00 14/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [18:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [18:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 189 vo: 120 vu: ml t0: [18:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 350 vu: ml
t0: [18:00:00 14/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [18:00:00 14/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [18:00:00 14/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Serosanguinous st: NotStopd t0: [18:00:00 14/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [18:00:00 14/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [18:00:00 14/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd
t0: [17:00:00 14/12/2009] tf: [10:00:00 15/12/2009] dt: 1020 id: Packed RBC's IV Infusions el: 2 cu: CSRU cg: -1 ai: 304 vo: 260 vu: ml
t0: [23:00:00 14/12/2009] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: -1 cv: 260 ap: none
t0: [17:54:00 14/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [17:54:00 14/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31 u1: % rs: Final st: NotStopd
t0: [16:00:00 14/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [16:00:00 14/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 14/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 14/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [17:54:00 14/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.9 rs: Final st: NotStopd t0: [18:00:00 14/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [18:00:00 14/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [18:00:00 14/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [18:00:00 14/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [18:00:00 14/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 19 st: NotStopd t0: [18:00:00 14/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [19:00:00 14/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [19:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 14/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [19:00:00 14/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [19:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 14/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [19:00:00 14/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [19:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [19:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 14/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [19:00:00 14/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [19:00:00 14/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [19:00:00 14/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [19:00:00 14/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [19:00:00 14/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: lpm st: NotStopd t0: [19:00:00 14/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [19:00:00 14/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [19:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 125 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [19:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [19:00:00 14/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [19:00:00 14/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [19:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [19:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [19:00:00 14/12/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [19:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 14/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.9444 u1: Deg. C st: NotStopd t0: [19:00:00 14/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.5 u1: Deg. F st: NotStopd t0: [19:00:00 14/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [19:00:00 14/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [19:00:00 14/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [19:00:00 14/12/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [19:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 14/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 116 vo: 10 vu: ml t0: [19:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [19:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 189 vo: 60 vu: ml t0: [19:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml t0: [19:00:00 14/12/2009] tf: [03:00:00 15/12/2009] dt: 480 id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 15 vu: ml
t0: [20:00:00 14/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [20:00:00 14/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [20:00:00 14/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 50 u1: decFrc st: NotStopd t0: [20:00:00 14/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [20:00:00 14/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 14/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 14/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [20:00:00 14/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 14/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 14/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [20:00:00 14/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [20:00:00 14/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 7.9 u1: L/min st: NotStopd t0: [20:00:00 14/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: lpm st: NotStopd t0: [20:00:00 14/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 14/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [20:00:00 14/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [20:00:00 14/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 14/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 320 u1: ml/B st: NotStopd t0: [20:00:00 14/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [20:00:00 14/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [20:00:00 14/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [20:00:00 14/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd
t0: [20:00:00 14/12/2009] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 14/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/12/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 14/12/2009] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 14/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [20:00:00 14/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 14/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 14/12/2009] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 14/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 14/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 14/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 14/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [20:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 14/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 14/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [20:00:00 14/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 14/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [20:00:00 14/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 14/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 14/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 14/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 14/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 14/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 14/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 14/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 14/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 14/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 14/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [20:00:00 14/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [20:00:00 14/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [20:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [20:00:00 14/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 14/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [20:00:00 14/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 14/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 14/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 14/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 14/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 14/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 14/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Restraint DC'd st: NotStopd t0: [20:00:00 14/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 14/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 14/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Friend st: NotStopd t0: [20:00:00 14/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 14/12/2009] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [20:00:00 14/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 14/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 14/12/2009] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 14/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 14/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 14/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 14/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 14/12/2009] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [20:00:00 14/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [20:00:00 14/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [20:00:00 14/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [20:00:00 14/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 14/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 14/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [20:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [20:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [20:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [20:00:00 14/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 116 vu: ml
t0: [20:00:00 14/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [21:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 14/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [21:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 14/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [21:00:00 14/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [21:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [21:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 14/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [21:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [21:00:00 14/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [21:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [21:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [21:00:00 14/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [21:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 14/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [21:00:00 14/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 14/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [21:00:00 14/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [21:00:00 14/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [21:00:00 14/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [21:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [21:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [21:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [22:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 14/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [22:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [22:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [22:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [22:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:30:00 14/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:30:00 14/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [22:30:00 14/12/2009] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:30:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [22:30:00 14/12/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [22:30:00 14/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [22:30:00 14/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [22:30:00 14/12/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [22:30:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:30:00 14/12/2009] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd
t0: [22:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [22:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [22:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 95 vu: ml
t0: [19:00:00 14/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vu: ml t0: [20:00:00 14/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vu: ml t0: [21:00:00 14/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vu: ml t0: [22:00:00 14/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [21:30:00 14/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:30:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [21:30:00 14/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [21:30:00 14/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [21:30:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 14/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 14/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 14/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 14/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 14/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [23:00:00 14/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 14/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [23:00:00 14/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [23:00:00 14/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 14/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [23:00:00 14/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:00:00 14/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 14/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 14/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [22:00:00 14/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: RN vo: 17 vu: ml t0: [23:00:00 14/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 200 vu: ml t0: [23:00:00 14/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [23:00:00 14/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [23:00:00 14/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [23:00:00 14/12/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 45 cv: 45 ap: none t0: [23:00:00 14/12/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 235 cv: 235 ap: none t0: [23:00:00 14/12/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 220 cv: 1070 ap: none t0: [23:00:00 14/12/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 280 cv: 2840 ap: none t0: [23:00:00 14/12/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 130 ap: none t0: [23:00:00 14/12/2009] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 60 cv: 1380 ap: none t0: [23:00:00 14/12/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 45 cv: 2235 ap: none t0: [23:00:00 14/12/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 235 cv: 573 ap: none t0: [23:00:00 14/12/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 45 cv: 2267 ap: none t0: [23:00:00 14/12/2009] dt: 24 id: Drain #1 Total Out el: 3 cu: CSRU cg: RN cv: 32 ap: none
t0: [00:00:00 15/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [00:00:00 15/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [00:00:00 15/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 50 u1: decFrc st: NotStopd t0: [00:00:00 15/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [00:00:00 15/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 15/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 15/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [00:00:00 15/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 15/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 15/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [00:00:00 15/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [00:00:00 15/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 15/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 10.3 u1: cmH2O st: NotStopd t0: [00:00:00 15/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 8.2 u1: L/min st: NotStopd t0: [00:00:00 15/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: lpm st: NotStopd t0: [00:00:00 15/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 15/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [00:00:00 15/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [00:00:00 15/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 15/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [00:00:00 15/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 15/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 330 u1: ml/B st: NotStopd t0: [00:00:00 15/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [00:00:00 15/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [00:00:00 15/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [00:00:00 15/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd
t0: [00:00:00 15/12/2009] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 15/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [00:00:00 15/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 15/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 15/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 15/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 15/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 15/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 15/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 15/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [00:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 15/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 15/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [00:00:00 15/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 15/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [00:00:00 15/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 15/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 15/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 15/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 15/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 15/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 15/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 15/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 15/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 15/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 15/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 15/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 15/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 15/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [00:00:00 15/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 15/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [00:00:00 15/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 15/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 15/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 15/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 15/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 15/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 15/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Friend st: NotStopd t0: [00:00:00 15/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 15/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 15/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [00:00:00 15/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [00:00:00 15/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 15/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 15/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 15/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 198 rs: Manual st: NotStopd t0: [00:00:00 15/12/2009] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 15/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 15/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 15/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 15/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 15/12/2009] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [00:00:00 15/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [00:00:00 15/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [00:00:00 15/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [00:00:00 15/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 15/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 15/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [00:00:00 15/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 0 vu: ml t0: [00:00:00 15/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 116 vo: 0 vu: ml t0: [00:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [00:00:00 15/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [00:00:00 15/12/2009] tf: [21:00:00 16/12/2009] dt: 2700 id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [00:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 250 vu: ml t0: [00:00:00 15/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: RN vo: 7 vu: ml
t0: [00:35:00 15/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [00:35:00 15/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 9 rs: Final st: NotStopd t0: [00:35:00 15/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [00:35:00 15/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [00:35:00 15/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 133 u1: mmHg rs: Final st: NotStopd t0: [00:35:00 15/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd
t0: [00:35:00 15/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 209 rs: Final st: NotStopd t0: [00:35:00 15/12/2009] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [00:35:00 15/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd
t0: [00:35:00 15/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.07 rs: Final st: NotStopd t0: [00:35:00 15/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.9 rs: Final st: NotStopd t0: [01:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [01:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [01:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 15/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 15/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [02:00:00 15/12/2009] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 15/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [02:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 15/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 15/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [02:00:00 15/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [02:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [02:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 15/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 15/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 15/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 15/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 15/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 15/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 159 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 15/12/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [02:00:00 15/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [02:00:00 15/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [02:00:00 15/12/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [02:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [02:00:00 15/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 15/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [02:00:00 15/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 15/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 15/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 15/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 15/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 15/12/2009] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 15/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 15/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 15/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [02:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 40 vu: ml t0: [02:00:00 15/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 120 vu: ml t0: [02:00:00 15/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [02:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [03:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [03:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [03:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 15/12/2009] tf: [03:00:00 15/12/2009] dt: 60 id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 15/12/2009] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [03:00:00 15/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 0 vu: ml t0: [03:00:00 15/12/2009] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [03:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [03:00:00 15/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [03:00:00 15/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [03:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [03:00:00 15/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [04:00:00 15/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [04:00:00 15/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [04:00:00 15/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 50 u1: decFrc st: NotStopd t0: [04:00:00 15/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [04:00:00 15/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 15/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 15/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [04:00:00 15/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 15/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 15/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 18 st: NotStopd t0: [04:00:00 15/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [04:00:00 15/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 15/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 9.8 u1: cmH2O st: NotStopd t0: [04:00:00 15/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 7.9 u1: L/min st: NotStopd t0: [04:00:00 15/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 0.4 u1: lpm st: NotStopd t0: [04:00:00 15/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 15/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [04:00:00 15/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:00:00 15/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 15/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [04:00:00 15/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 15/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 310 u1: ml/B st: NotStopd t0: [04:00:00 15/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [04:00:00 15/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 1 u1: # st: NotStopd t0: [04:00:00 15/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [04:00:00 15/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd
t0: [10:00:00 13/12/2009] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 74 u1: kg st: NotStopd t0: [04:44:00 15/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [04:44:00 15/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [04:44:00 15/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [04:44:00 15/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [04:44:00 15/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 158 u1: mmHg rs: Final st: NotStopd t0: [04:44:00 15/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [04:44:00 15/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.21 rs: Final st: NotStopd t0: [04:44:00 15/12/2009] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [04:44:00 15/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.1 rs: Final st: NotStopd t0: [04:44:00 15/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 132 rs: Final st: NotStopd
t0: [04:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 61 u1: BPM st: NotStopd t0: [04:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [04:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [04:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:44:00 15/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 176 rs: Final st: NotStopd
t0: [00:00:00 15/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 15/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 0 vu: ml t0: [04:00:00 15/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 107 vo: 30 vu: ml t0: [04:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [04:00:00 15/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [04:00:00 15/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [04:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml
t0: [23:00:00 15/12/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 90 ap: none
t0: [04:30:00 15/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 18.2 rs: Final st: NotStopd t0: [04:30:00 15/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32.1 u1: % rs: Final st: NotStopd t0: [04:30:00 15/12/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 15/12/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 305 rs: Final st: NotStopd t0: [04:30:00 15/12/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.4 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 15/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 18.2 rs: Final st: NotStopd
t0: [04:30:00 15/12/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 11 rs: Final st: NotStopd t0: [04:30:00 15/12/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 15/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [04:30:00 15/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 96 rs: Final st: NotStopd t0: [04:30:00 15/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [04:30:00 15/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 166 rs: Final st: NotStopd t0: [04:30:00 15/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [04:30:00 15/12/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 15/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.8 rs: Final st: NotStopd t0: [04:30:00 15/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd
t0: [04:00:00 15/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 15/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 15/12/2009] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 15/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 15/12/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [04:00:00 15/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [04:00:00 15/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [04:00:00 15/12/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [05:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 61 u1: BPM st: NotStopd t0: [05:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [05:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [05:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [05:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 15/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 15/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [06:00:00 15/12/2009] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 15/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [06:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 15/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 15/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 15/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 19cm v2: Lip st: NotStopd t0: [06:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 15/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 18 st: NotStopd t0: [06:00:00 15/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 15/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [06:00:00 15/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [06:00:00 15/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [06:00:00 15/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 63 u1: BPM st: NotStopd t0: [06:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 15/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 15/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [06:00:00 15/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [06:00:00 15/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [06:00:00 15/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [06:00:00 15/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [06:00:00 15/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 15/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 15/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 15/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Pink st: NotStopd t0: [06:00:00 15/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 15/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 15/12/2009] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.5 mm st: NotStopd t0: [06:00:00 15/12/2009] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [06:00:00 15/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [06:00:00 15/12/2009] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 18 st: NotStopd t0: [06:00:00 15/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [06:00:00 15/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [06:00:00 15/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [06:00:00 15/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 15/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 0.4 u1: lpm st: NotStopd t0: [06:00:00 15/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 15/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [06:00:00 15/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:00:00 15/12/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [06:00:00 15/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [06:00:00 15/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [06:00:00 15/12/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [06:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [06:00:00 15/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 15/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Strong/Palpable st: NotStopd t0: [06:00:00 15/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [06:00:00 15/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [06:00:00 15/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [06:00:00 15/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 15/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 15/12/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 15/12/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 15/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 15/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [06:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 15/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [06:00:00 15/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [06:00:00 15/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Friend st: NotStopd t0: [06:00:00 15/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 15/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [06:00:00 15/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 15/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 1 u1: # st: NotStopd t0: [06:00:00 15/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [06:00:00 15/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [06:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 15/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [06:00:00 15/12/2009] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [06:00:00 15/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [06:00:00 15/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [06:00:00 15/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [06:00:00 15/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [06:00:00 15/12/2009] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [06:00:00 15/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [06:00:00 15/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [06:00:00 15/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [06:00:00 15/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [06:00:00 15/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [06:00:00 15/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [06:00:00 15/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 0 vu: ml t0: [06:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 40 vu: ml t0: [06:00:00 15/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 120 vu: ml t0: [06:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml t0: [06:00:00 15/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [06:00:00 15/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [06:00:00 15/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [06:00:00 15/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [07:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [07:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [07:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [07:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [07:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 15/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 0 vu: ml t0: [07:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [07:00:00 15/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 60 vu: ml t0: [07:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [06:00:00 15/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 143 rs: Manual st: NotStopd
t0: [08:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [08:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 159 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [08:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [08:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 15/12/2009] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [08:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 15/12/2009] id: Weight Change el: 0 cu: CSRU cg: RN v1: 1.7 u1: kg st: NotStopd t0: [08:00:00 15/12/2009] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd
t0: [08:00:00 15/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 0 vu: ml t0: [08:00:00 15/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vo: 0 vu: ml t0: [08:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [08:00:00 15/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 19cm v2: Lip st: NotStopd t0: [08:00:00 15/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 15/12/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 15/12/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 15/12/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 18 st: NotStopd t0: [08:00:00 15/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Aerosol-Cool st: NotStopd t0: [08:00:00 15/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 12 u1: lpm st: NotStopd
t0: [08:44:00 15/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [08:44:00 15/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [08:44:00 15/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [08:44:00 15/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [08:44:00 15/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 99 u1: mmHg rs: Final st: NotStopd t0: [08:44:00 15/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [08:44:00 15/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 157 rs: Final st: NotStopd
t0: [09:00:00 15/12/2009] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 15/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 15/12/2009] id: ETT Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 15/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 15/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 15/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 15/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 15/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [09:00:00 15/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [09:06:00 15/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [09:06:00 15/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd
t0: [09:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [09:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 192 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [09:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg st: NotStopd t0: [09:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [09:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 15/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 0 vu: ml t0: [09:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 170 vu: ml
t0: [10:00:00 15/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 0 vu: ml t0: [10:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 170 vu: ml
t0: [10:00:00 15/12/2009] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 15/12/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 15/12/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 15/12/2009] id: Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 15/12/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 15/12/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 15/12/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 15/12/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 15/12/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [10:00:00 15/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 116 vo: 0 st: D/C'd t0: [10:00:00 15/12/2009] id: Packed RBC's IV Infusions el: 2 cu: CSRU cg: -1 ai: 304 vo: 0 st: D/C'd t0: [10:00:00 15/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [10:07:00 15/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [10:07:00 15/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [10:07:00 15/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [10:07:00 15/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [10:07:00 15/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [10:07:00 15/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd
t0: [08:00:00 15/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [08:00:00 15/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 15/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 15/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 15/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 15/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 15/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [08:00:00 15/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 15/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [08:00:00 15/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 15/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [08:00:00 15/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 15/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 15/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Pink st: NotStopd t0: [08:00:00 15/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 15/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 15/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 15/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 15/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 15/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 15/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 15/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 15/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 15/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 15/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 15/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 15/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 15/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 15/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 15/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 15/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 15/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 15/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [08:00:00 15/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [08:00:00 15/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 15/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 15/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [09:00:00 15/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN st: NotStopd t0: [10:00:00 15/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 15/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [10:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 15/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [10:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [10:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 15/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 15/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [10:00:00 15/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [10:00:00 15/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [10:00:00 15/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [10:00:00 15/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [10:00:00 15/12/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [10:00:00 15/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [10:00:00 15/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [10:00:00 15/12/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [10:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [10:00:00 15/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [10:00:00 15/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [10:00:00 15/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [10:00:00 15/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 15/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [10:00:00 15/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Nasotracheal Sxn v2: Small st: NotStopd t0: [10:00:00 15/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [10:00:00 15/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [10:00:00 15/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [10:00:00 15/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 15/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 15/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [06:00:00 15/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vu: ml t0: [07:00:00 15/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vu: ml t0: [08:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [08:00:00 15/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vu: ml t0: [09:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [09:00:00 15/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vu: ml t0: [10:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [10:00:00 15/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vu: ml
t0: [10:30:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:30:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:30:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:30:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [10:30:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:30:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 188 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [10:30:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 111 u1: mmHg st: NotStopd t0: [10:30:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:30:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 75.6 u1: kg st: NotStopd t0: [10:30:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [10:30:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [10:30:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Hydralazine HCl f1: VIAL v1: 5 u1: mg
t0: [11:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [11:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 187 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [11:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [11:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [11:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [11:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [11:00:00 15/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [11:00:00 15/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Nasotracheal Sxn v2: Small st: NotStopd
t0: [11:29:00 15/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [11:29:00 15/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [11:29:00 15/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [11:29:00 15/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [11:29:00 15/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 68 u1: mmHg rs: Final st: NotStopd t0: [11:29:00 15/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd
t0: [08:00:00 15/12/2009] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [08:00:00 15/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 15/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [10:00:00 15/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN st: NotStopd t0: [11:30:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:30:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [11:30:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [11:30:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [11:30:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 180 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [11:30:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [11:30:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:30:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [11:30:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [11:30:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:30:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 15/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [12:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 15/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 15/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [12:00:00 15/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 15/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 15/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 15/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [12:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [12:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 15/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 15/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [12:00:00 15/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 15/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 15/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [12:00:00 15/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 15/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 15/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 15/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 15/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Pink st: NotStopd t0: [12:00:00 15/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 15/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 15/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 15/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 15/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 15/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [12:00:00 15/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [12:00:00 15/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 15/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 15/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [12:00:00 15/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [12:00:00 15/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 15/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [12:00:00 15/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 15/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [12:00:00 15/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [12:00:00 15/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [12:00:00 15/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 15/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 15/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [12:00:00 15/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [12:00:00 15/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 15/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 15/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [11:00:00 15/12/2009] tf: [12:00:00 15/12/2009] dt: 60 id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
io: D5W IV Infusions el: 1 cu: CSRU cg: RN ru: ml/hr
id: D5W el: 1 cu: CSRU cg: RN io: D5W IV Infusions du: ml rt: Intravenous Push
t0: [12:30:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:30:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [12:30:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [12:30:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [12:30:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:30:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [12:30:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:30:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [12:30:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 34 u1: BPM st: NotStopd t0: [12:30:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [12:30:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 15/12/2009] id: Micro-Neb Treatment el: 0 cu: CSRU cg: RRT v1: Alb/Atr st: NotStopd
t0: [12:00:00 15/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Tachypneic st: NotStopd t0: [12:30:00 15/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 201 rs: Manual st: NotStopd t0: [13:00:00 15/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [13:00:00 15/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [13:00:00 15/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [13:00:00 15/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [13:00:00 15/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Tachypneic st: NotStopd
t0: [13:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [13:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [13:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [13:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [13:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [13:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 15/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 0 vu: ml t0: [12:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [12:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [13:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [13:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Hydralazine HCl f1: VIAL v1: 10 u1: mg
t0: [13:00:00 15/12/2009] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd
t0: [13:39:00 15/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [13:39:00 15/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [13:39:00 15/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [13:39:00 15/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 66 u1: mmHg rs: Final st: NotStopd
t0: [13:45:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:45:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:45:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [13:45:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:45:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:45:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:45:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:45:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [13:45:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [13:45:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [13:45:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:50:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:50:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:50:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [13:50:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:50:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:50:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [13:50:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:50:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [13:50:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [13:50:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [13:50:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:55:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:55:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:55:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [13:55:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:55:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 163 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [13:55:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [13:55:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:55:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [13:55:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [13:55:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [13:55:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [14:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [14:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [14:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [14:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IH fr: ONCE fs: 14 dn: 1 m1: Epinephrine Inhalation f1: INH v1: 0.5 u1: ml
t0: [09:00:00 15/12/2009] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 189 vu: ml
t0: [13:39:00 15/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.7 rs: Final st: NotStopd t0: [13:45:00 15/12/2009] id: Procedures el: 0 cu: CSRU cg: -1 v1: Bronchoscopy st: NotStopd t0: [14:05:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:05:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:05:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [14:05:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [14:05:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:05:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 110 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [14:05:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [14:05:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:05:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 75.6 u1: kg st: NotStopd t0: [14:05:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [14:05:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:05:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 15/12/2009] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [14:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [14:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 180 vu: ml
t0: [14:30:00 15/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [14:30:00 15/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [14:30:00 15/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [14:30:00 15/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [14:30:00 15/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [14:30:00 15/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [14:30:00 15/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [14:30:00 15/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [14:30:00 15/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [14:30:00 15/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [14:30:00 15/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [14:30:00 15/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [14:30:00 15/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Tachypneic st: NotStopd t0: [14:30:00 15/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [14:30:00 15/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [14:30:00 15/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [14:30:00 15/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [14:30:00 15/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Serosanguinous st: NotStopd t0: [14:30:00 15/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [14:30:00 15/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd
t0: [14:30:00 15/12/2009] id: Pain Level el: 0 cu: CSRU cg: -1 v1: 9-Severe-Worst st: NotStopd t0: [14:30:00 15/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:30:00 15/12/2009] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [14:30:00 15/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [14:30:00 15/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [14:30:00 15/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [14:30:00 15/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [14:30:00 15/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [14:30:00 15/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [14:30:00 15/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [14:30:00 15/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 19 st: NotStopd t0: [14:30:00 15/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [14:30:00 15/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [14:30:00 15/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [14:30:00 15/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Fair st: NotStopd t0: [14:30:00 15/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Pink st: NotStopd t0: [14:30:00 15/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:30:00 15/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:30:00 15/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [14:30:00 15/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [14:30:00 15/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [14:30:00 15/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:30:00 15/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:30:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 119 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [14:30:00 15/12/2009] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: At Rest st: NotStopd t0: [14:30:00 15/12/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: 9-Severe-Worst st: NotStopd t0: [14:30:00 15/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Chest Pain st: NotStopd t0: [14:30:00 15/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [14:30:00 15/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Constant st: NotStopd t0: [14:30:00 15/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [14:30:00 15/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [14:30:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [14:30:00 15/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:30:00 15/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [14:30:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:30:00 15/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v2: None st: NotStopd t0: [14:30:00 15/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [14:30:00 15/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Appropriate st: NotStopd t0: [14:30:00 15/12/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [14:30:00 15/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: No Apparent Prob st: NotStopd t0: [14:30:00 15/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Comp. Immobile st: NotStopd t0: [14:30:00 15/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [14:30:00 15/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [14:30:00 15/12/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 15 u1: number st: NotStopd t0: [14:30:00 15/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: No Impairment st: NotStopd
t0: [15:05:00 15/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [15:05:00 15/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [15:05:00 15/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [15:05:00 15/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 74 u1: mmHg rs: Final st: NotStopd
t0: [23:00:00 15/12/2009] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: 3161 cv: 480 ap: none
t0: [14:00:00 15/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 15/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 15/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [15:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [15:00:00 15/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [15:00:00 15/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [15:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [15:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 15/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 15/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Fair st: NotStopd t0: [15:00:00 15/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [15:00:00 15/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [15:00:00 15/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 15/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [15:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [15:00:00 15/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [15:00:00 15/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 75.6 u1: kg st: NotStopd t0: [15:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [15:00:00 15/12/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [15:00:00 15/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v2: None st: NotStopd t0: [15:00:00 15/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [15:00:00 15/12/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [15:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 140 vu: ml
t0: [13:39:00 15/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: RRT v1: 7.47 rs: Final st: NotStopd t0: [13:39:00 15/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: RRT v1: 7.47 rs: Final st: NotStopd t0: [14:00:00 15/12/2009] id: Micro-Neb Treatment el: 0 cu: CSRU cg: RRT v1: RAC EP st: NotStopd t0: [15:05:00 15/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: RRT v1: 7.46 rs: Final st: NotStopd t0: [15:05:00 15/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: RRT v1: 7.46 rs: Final st: NotStopd
t0: [14:00:00 15/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [14:00:00 15/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Incisional st: NotStopd t0: [16:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 15/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [16:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 15/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 15/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [16:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PVC's st: NotStopd t0: [16:00:00 15/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [16:00:00 15/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 15/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 15/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [16:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [16:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 15/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 15/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [16:00:00 15/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 15/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 15/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 19 st: NotStopd t0: [16:00:00 15/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 15/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 15/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 15/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [16:00:00 15/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Fair st: NotStopd t0: [16:00:00 15/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Pink st: NotStopd t0: [16:00:00 15/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 15/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 15/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 15/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 15/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [16:00:00 15/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 15/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 15/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [16:00:00 15/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [16:00:00 15/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 15/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 15/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 161 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [16:00:00 15/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [16:00:00 15/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 75.6 u1: kg st: NotStopd t0: [16:00:00 15/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 15/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [16:00:00 15/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Tachypneic st: NotStopd t0: [16:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 37 u1: BPM st: NotStopd t0: [16:00:00 15/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 15/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [16:00:00 15/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 15/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 15/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 15/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 15/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Appropriate st: NotStopd t0: [16:00:00 15/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [16:00:00 15/12/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Chairfast st: NotStopd t0: [16:00:00 15/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: No Apparent Prob st: NotStopd t0: [16:00:00 15/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 15/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 15/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [16:00:00 15/12/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 17 u1: number st: NotStopd t0: [16:00:00 15/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: No Impairment st: NotStopd t0: [16:00:00 15/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Straw st: NotStopd t0: [16:00:00 15/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [16:00:00 15/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [16:00:00 15/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd
t0: [16:00:00 15/12/2009] tf: [10:34:00 18/12/2009] dt: 3994 id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [16:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [16:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml t0: [16:00:00 15/12/2009] tf: [13:00:00 16/12/2009] dt: 1260 id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 7 vu: ml
t0: [16:00:00 15/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 15/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v2: None st: NotStopd
t0: [16:00:00 15/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 15/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.7778 u1: Deg. C st: NotStopd t0: [16:00:00 15/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.2 u1: Deg. F st: NotStopd
t0: [16:00:00 15/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [16:00:00 15/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 15/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [16:00:00 15/12/2009] id: PainLevel Acceptable el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 15/12/2009] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [16:00:00 15/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Incisional st: NotStopd t0: [16:00:00 15/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [16:00:00 15/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Constant st: NotStopd t0: [17:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 15/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [17:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PVC's st: NotStopd t0: [17:00:00 15/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [17:00:00 15/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [17:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [17:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 15/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [17:00:00 15/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [17:00:00 15/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [17:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [17:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [17:00:00 15/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [17:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 75.6 u1: kg st: NotStopd t0: [17:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [17:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [17:00:00 15/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v2: None st: NotStopd t0: [17:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [17:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml t0: [17:00:00 15/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 10 vu: ml
t0: [17:00:00 15/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 187 rs: Manual st: NotStopd t0: [17:30:00 15/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:30:00 15/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [17:30:00 15/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [17:30:00 15/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [17:30:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:30:00 15/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [17:30:00 15/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Moderate st: NotStopd
t0: [16:00:00 15/12/2009] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [18:00:00 15/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 15/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [18:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 15/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [18:00:00 15/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [18:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 15/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [18:00:00 15/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [18:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [18:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 15/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 15/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Fair st: NotStopd t0: [18:00:00 15/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 15/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [18:00:00 15/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [18:00:00 15/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 15/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 107 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [18:00:00 15/12/2009] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Activity st: NotStopd t0: [18:00:00 15/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Incisional st: NotStopd t0: [18:00:00 15/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [18:00:00 15/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Constant st: NotStopd t0: [18:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [18:00:00 15/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 15/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 75.6 u1: kg st: NotStopd t0: [18:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [18:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [18:00:00 15/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v2: None st: NotStopd t0: [18:00:00 15/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [18:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml t0: [18:00:00 15/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 10 vu: ml
t0: [16:00:00 15/12/2009] id: Micro-Neb Treatment el: 0 cu: CSRU cg: RRT v1: ALB/ATR st: NotStopd
t0: [19:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 15/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [19:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [19:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PVC's st: NotStopd t0: [19:00:00 15/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [19:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [19:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 15/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [19:00:00 15/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [19:00:00 15/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [19:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 138 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [19:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [19:00:00 15/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [19:00:00 15/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [19:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 75.6 u1: kg st: NotStopd t0: [19:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [19:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [19:00:00 15/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [19:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [19:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml t0: [19:00:00 15/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 13 vu: ml
t0: [19:11:00 15/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd
t0: [19:15:00 15/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [19:15:00 15/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [19:15:00 15/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [19:15:00 15/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [19:15:00 15/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [19:15:00 15/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [19:15:00 15/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd
t0: [20:00:00 15/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 15/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [20:00:00 15/12/2009] id: Micro-Neb Treatment el: 0 cu: CSRU cg: -1 v1: ALB/ATR st: NotStopd t0: [20:00:00 15/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [20:00:00 15/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd
t0: [20:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [20:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [20:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [20:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [20:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 15/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 15/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [21:00:00 15/12/2009] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 15/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 15/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [21:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [21:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 15/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [21:00:00 15/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [21:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 15/12/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [21:00:00 15/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [21:00:00 15/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [21:00:00 15/12/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Intermittent st: NotStopd t0: [21:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [21:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [21:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 15/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [21:00:00 15/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [21:00:00 15/12/2009] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [21:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [21:00:00 15/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [21:00:00 15/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 15/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [21:00:00 15/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [21:00:00 15/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 15/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [21:00:00 15/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [21:00:00 15/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 15/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 15/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [21:00:00 15/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [21:00:00 15/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [21:00:00 15/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [21:00:00 15/12/2009] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [21:00:00 15/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [21:00:00 15/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [21:00:00 15/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 15/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [21:00:00 15/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [21:00:00 15/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 15/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 15/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [21:00:00 15/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 15/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [21:00:00 15/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd
t0: [22:00:00 15/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 15/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [22:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 15/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 15/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 15/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [22:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [22:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 15/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [22:00:00 15/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [22:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [22:00:00 15/12/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [22:00:00 15/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [22:00:00 15/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [22:00:00 15/12/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [22:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [22:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [22:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 15/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: None st: NotStopd t0: [22:00:00 15/12/2009] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:52:00 15/12/2009] id: Vancomycin/Trough Drug Level el: 0 cu: CSRU cg: 3161 v1: 5.7 rs: Final st: NotStopd
t0: [22:00:00 15/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [22:00:00 15/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 15/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [22:00:00 15/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [22:00:00 15/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [22:00:00 15/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 15/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 15/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Ecchymotic st: NotStopd t0: [22:00:00 15/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 15/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 15/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [22:00:00 15/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 15/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 15/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [22:00:00 15/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 15/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 15/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [22:00:00 15/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 15/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 15/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 15/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 15/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 15/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 15/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 15/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [22:00:00 15/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 15/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 15/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 15/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [22:00:00 15/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [22:00:00 15/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [22:00:00 15/12/2009] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Chairfast st: NotStopd t0: [22:00:00 15/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [22:00:00 15/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [22:00:00 15/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [22:00:00 15/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [22:00:00 15/12/2009] id: Braden Score el: 0 cu: CSRU cg: RN v1: 19 u1: number st: NotStopd t0: [22:00:00 15/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [22:00:00 15/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [22:00:00 15/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [22:00:00 15/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [22:00:00 15/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [22:00:00 15/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [23:00:00 15/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 15/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 15/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 15/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 15/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 15/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [23:00:00 15/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [23:00:00 15/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 15/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [23:00:00 15/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [23:00:00 15/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [23:00:00 15/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [23:00:00 15/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 15/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [23:00:00 15/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:00:00 15/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 15/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [23:00:00 15/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Moderate st: NotStopd t0: [23:00:00 15/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 15/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 200 vu: ml t0: [23:00:00 15/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [23:00:00 15/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [23:00:00 15/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml
t0: [23:00:00 15/12/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 120 cv: 1070 ap: none t0: [23:00:00 15/12/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 130 cv: 2510 ap: none
t0: [23:00:00 15/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [23:00:00 15/12/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 180 cv: 180 ap: none t0: [23:00:00 15/12/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 180 cv: 2607 ap: none t0: [23:00:00 15/12/2009] dt: 24 id: Drain #1 Total Out el: 3 cu: CSRU cg: RN pv: 50 cv: 97 ap: none
t0: [21:00:00 15/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 16/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [00:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 16/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 16/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 16/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [00:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 16/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 16/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [00:00:00 16/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 16/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [00:00:00 16/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 16/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 16/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 16/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 16/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 16/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 16/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 16/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [00:00:00 16/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [00:00:00 16/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 16/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 16/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 16/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Moderate st: NotStopd t0: [00:00:00 16/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 16/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 16/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [00:00:00 16/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [00:00:00 16/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [00:00:00 16/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 16/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 16/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [00:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [00:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [23:00:00 16/12/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: -1 pv: 20 cv: 20 ap: none t0: [23:00:00 16/12/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: -1 pv: 10 cv: 1160 ap: none t0: [23:00:00 16/12/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: -1 pv: 20 cv: 1440 ap: none t0: [23:00:00 16/12/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: -1 pv: 20 cv: 1687 ap: none
t0: [23:00:00 15/12/2009] id: Micro-Neb Treatment el: 0 cu: CSRU cg: -1 v1: ALB/ATR st: NotStopd
t0: [00:00:00 16/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 185 rs: Manual st: NotStopd
t0: [23:00:00 15/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vu: ml t0: [00:00:00 16/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [23:00:00 15/12/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -60 cv: -60 ap: none t0: [23:00:00 15/12/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 120 cv: 1710 ap: none t0: [23:00:00 15/12/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -60 cv: -897 ap: none t0: [23:00:00 15/12/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -60 cv: 4043 ap: carryForward
t0: [00:00:00 16/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 16/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [00:00:00 16/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.3 u1: Deg. F st: NotStopd
t0: [23:59:00 15/12/2009] id: Vancomycin/Peak Drug Level el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd
t0: [00:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [00:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [00:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [01:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [01:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [01:00:00 16/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [01:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [01:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [01:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [01:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml t0: [02:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml t0: [02:00:00 16/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: RN vo: 56 vu: ml
t0: [00:00:00 16/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [00:00:00 16/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 16/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 16/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [00:00:00 16/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [00:00:00 16/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 16/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [02:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [02:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [02:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [02:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [02:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [02:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [02:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [02:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 16/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [03:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [03:00:00 16/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [03:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 16/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 16/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [03:00:00 16/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [03:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [03:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [03:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [03:00:00 16/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [03:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [03:00:00 16/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [03:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [03:00:00 16/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [03:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [03:00:00 16/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 16/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [03:00:00 16/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [03:00:00 16/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 16/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [03:00:00 16/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [03:00:00 16/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [03:00:00 16/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [03:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [03:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 42 vu: ml
t0: [03:00:00 16/12/2009] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 16/12/2009] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 16/12/2009] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 16/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 16/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 16/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 16/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 16/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 16/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 16/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 16/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 16/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 16/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 16/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 16/12/2009] id: Working Pressure el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [03:04:00 16/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [03:04:00 16/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [03:04:00 16/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [03:04:00 16/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [03:04:00 16/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 111 u1: mmHg rs: Final st: NotStopd t0: [03:04:00 16/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [03:04:00 16/12/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [20:00:00 15/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 15/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [22:00:00 15/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [23:00:00 15/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 16/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [02:00:00 16/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [03:00:00 16/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [03:04:00 16/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.03 rs: Final st: NotStopd
t0: [03:00:00 16/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 120 vu: ml
t0: [03:00:00 16/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 19.5 rs: Final st: NotStopd t0: [03:00:00 16/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 33.4 u1: % rs: Final st: NotStopd t0: [03:00:00 16/12/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [03:00:00 16/12/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 390 rs: Final st: NotStopd t0: [03:00:00 16/12/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.55 u1: /mic l rs: Final st: NotStopd t0: [03:00:00 16/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 19.5 rs: Final st: NotStopd t0: [03:04:00 16/12/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.8701 u1: ml/dl st: NotStopd
t0: [03:00:00 16/12/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [03:00:00 16/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [03:00:00 16/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [03:00:00 16/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [03:00:00 16/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 154 rs: Final st: NotStopd t0: [03:00:00 16/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [03:00:00 16/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd
t0: [04:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [04:00:00 16/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 16/12/2009] id: Micro-Neb Treatment el: 0 cu: CSRU cg: -1 v1: ALB/ATR st: NotStopd t0: [04:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd
t0: [04:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 16/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [04:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [04:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [04:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [04:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 16/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [05:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [05:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [05:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd
t0: [04:00:00 16/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [05:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 20 vu: ml
t0: [05:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 170 vu: ml
t0: [05:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 16/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [05:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 16/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 16/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [05:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 16/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [05:00:00 16/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 16/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [05:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [05:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [05:00:00 16/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [05:00:00 16/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [05:00:00 16/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [05:00:00 16/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [05:00:00 16/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 16/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [05:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 16/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [05:00:00 16/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [05:00:00 16/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [05:00:00 16/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 16/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [05:00:00 16/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [05:00:00 16/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [05:00:00 16/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [05:00:00 16/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 19 st: NotStopd t0: [05:00:00 16/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [05:00:00 16/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [05:00:00 16/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 16/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [05:00:00 16/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [05:00:00 16/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 16/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [05:00:00 16/12/2009] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 16/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: RN vo: 14 vu: ml
t0: [05:00:00 16/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 16/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [05:00:00 16/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [05:00:00 16/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 16/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [05:00:00 16/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Ecchymotic st: NotStopd t0: [05:00:00 16/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 16/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 16/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 16/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [05:00:00 16/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 16/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [05:00:00 16/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 16/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [05:00:00 16/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [05:00:00 16/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 16/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 16/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 16/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 16/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [05:00:00 16/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 16/12/2009] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 16/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [05:00:00 16/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [05:00:00 16/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [05:45:00 16/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:45:00 16/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:45:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [05:45:00 16/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [05:45:00 16/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [05:45:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:45:00 16/12/2009] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 16/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 16/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 16/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 16/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 16/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [06:00:00 16/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 16/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [05:00:00 16/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [06:00:00 16/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd
t0: [06:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [06:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [06:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [06:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [06:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [06:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [06:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [06:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [06:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml
t0: [06:00:00 16/12/2009] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [07:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 16/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [07:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [07:00:00 16/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [07:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [07:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [07:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 160 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [07:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 75.6 u1: kg st: NotStopd t0: [07:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [07:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [07:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml t0: [07:00:00 16/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: RN vo: 47 vu: ml
t0: [08:00:00 16/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 16/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [08:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 16/12/2009] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [08:00:00 16/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [08:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 16/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 16/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [08:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [08:00:00 16/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 16/12/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [08:00:00 16/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 16/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [08:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [08:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 16/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 16/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [08:00:00 16/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 16/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 16/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 19 st: NotStopd t0: [08:00:00 16/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 16/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 16/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 16/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 16/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 16/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Ecchymotic st: NotStopd t0: [08:00:00 16/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 16/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 16/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 16/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 16/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 16/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 16/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [08:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [08:00:00 16/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 16/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 16/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 16/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 143 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 16/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Incisional st: NotStopd t0: [08:00:00 16/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [08:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [08:00:00 16/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 16/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 16/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 16/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 16/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [08:00:00 16/12/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 16/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 16/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [08:00:00 16/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [08:00:00 16/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 16/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 16/12/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 16/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [08:00:00 16/12/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Chairfast st: NotStopd t0: [08:00:00 16/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: No Apparent Prob st: NotStopd t0: [08:00:00 16/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 16/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 16/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [08:00:00 16/12/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 16 u1: number st: NotStopd t0: [08:00:00 16/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 16/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Straw st: NotStopd t0: [08:00:00 16/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 16/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [08:00:00 16/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd
t0: [08:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [08:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 160 vu: ml t0: [08:00:00 16/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [09:00:00 16/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RRT v1: Done st: NotStopd t0: [09:00:00 16/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 16/12/2009] id: Micro-Neb Treatment el: 0 cu: CSRU cg: RRT v1: ALB/ATR st: NotStopd t0: [09:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Aerosol-Cool st: NotStopd t0: [09:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 12 u1: lpm st: NotStopd
t0: [09:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 16/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [09:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [09:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [09:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [09:00:00 16/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [09:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [09:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 16/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [09:00:00 16/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 16/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 16/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 129 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [09:00:00 16/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [09:00:00 16/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [09:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 16/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 16/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [09:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 16/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 10 vu: ml t0: [09:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml t0: [09:00:00 16/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [10:00:00 16/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [10:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [10:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [10:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 16/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [11:00:00 16/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [11:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [11:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 16/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [11:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [11:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 121 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [11:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [11:00:00 16/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [11:00:00 16/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [11:00:00 16/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [11:00:00 16/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [11:00:00 16/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.2 u1: Deg. F st: NotStopd t0: [11:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 30 vu: ml t0: [11:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml t0: [11:00:00 16/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [11:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd
t0: [08:00:00 16/12/2009] id: Stool Color/Consist el: 0 cu: CSRU cg: -1 v1: Brown v2: Loose st: NotStopd t0: [12:00:00 16/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [12:00:00 16/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [12:00:00 16/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 16/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 16/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [12:00:00 16/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 16/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [12:00:00 16/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 16/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 16/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 19 st: NotStopd t0: [12:00:00 16/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 16/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 16/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 16/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [12:00:00 16/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Ecchymotic st: NotStopd t0: [12:00:00 16/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 16/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 16/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 16/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [12:00:00 16/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 16/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 16/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 16/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [12:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [12:00:00 16/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 16/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 16/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 16/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 16/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 16/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 16/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 16/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v2: None st: NotStopd t0: [12:00:00 16/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 16/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 16/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 16/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 16/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [12:00:00 16/12/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Chairfast st: NotStopd t0: [12:00:00 16/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: No Apparent Prob st: NotStopd t0: [12:00:00 16/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 16/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 16/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [12:00:00 16/12/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 17 u1: number st: NotStopd t0: [12:00:00 16/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: No Impairment st: NotStopd t0: [12:00:00 16/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [12:00:00 16/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Straw st: NotStopd t0: [12:00:00 16/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [12:00:00 16/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [12:00:00 16/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd
t0: [12:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [12:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 135 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [12:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 16/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [11:00:00 16/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vu: ml t0: [12:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [12:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 43 vu: ml
t0: [12:00:00 16/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [12:00:00 16/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [12:00:00 16/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [12:00:00 16/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [12:00:00 16/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [12:00:00 16/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [12:00:00 16/12/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [12:00:00 16/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 181 rs: Final st: NotStopd
t0: [08:00:00 16/12/2009] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [08:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [08:00:00 16/12/2009] id: Weight Change el: 0 cu: CSRU cg: -1 v1: 0 u1: kg st: NotStopd t0: [08:00:00 16/12/2009] id: Daily Weight el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [09:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [11:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [12:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd
t0: [13:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 16/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [13:00:00 16/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [13:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [13:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 16/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [13:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [13:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 143 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [13:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [13:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [13:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [13:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml t0: [13:00:00 16/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [13:00:00 16/12/2009] id: Micro-Neb Treatment el: 0 cu: CSRU cg: RRT v1: alb/atr st: NotStopd
t0: [14:00:00 16/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:00:00 16/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [14:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 16/12/2009] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v2: Done st: NotStopd t0: [14:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 16/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [14:00:00 16/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [14:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PVC's st: NotStopd t0: [14:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [14:00:00 16/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [14:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 16/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 16/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [14:00:00 16/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [14:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [14:00:00 16/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 16/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 129 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 16/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Incisional st: NotStopd t0: [14:00:00 16/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Constant st: NotStopd t0: [14:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [14:00:00 16/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [14:00:00 16/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [14:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [14:00:00 16/12/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [14:00:00 16/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [14:00:00 16/12/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 16/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [15:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 16/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 16/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [15:00:00 16/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [15:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [15:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 16/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [15:00:00 16/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 16/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [15:00:00 16/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [15:00:00 16/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [15:00:00 16/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 19 st: NotStopd t0: [15:00:00 16/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [15:00:00 16/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [15:00:00 16/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [15:00:00 16/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Ecchymotic st: NotStopd t0: [15:00:00 16/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 16/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 16/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [15:00:00 16/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [15:00:00 16/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [15:00:00 16/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [15:00:00 16/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [15:00:00 16/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 16/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [15:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [15:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [15:00:00 16/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [15:00:00 16/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [15:00:00 16/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [15:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [15:00:00 16/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [15:00:00 16/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [15:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 16/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [15:00:00 16/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.2778 u1: Deg. C st: NotStopd t0: [15:00:00 16/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.3 u1: Deg. F st: NotStopd t0: [15:00:00 16/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 16/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [15:00:00 16/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [15:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 16/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [15:00:00 16/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [15:00:00 16/12/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Chairfast st: NotStopd t0: [15:00:00 16/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: No Apparent Prob st: NotStopd t0: [15:00:00 16/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [15:00:00 16/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [15:00:00 16/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [15:00:00 16/12/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 16 u1: number st: NotStopd t0: [15:00:00 16/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [15:00:00 16/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Straw st: NotStopd t0: [15:00:00 16/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [15:00:00 16/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [15:00:00 16/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd
t0: [14:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [14:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 37 vu: ml t0: [15:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [15:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 21 vu: ml
t0: [15:00:00 16/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 16/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 16/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [16:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 16/12/2009] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 16/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 16/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [16:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [16:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [16:00:00 16/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [16:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 16/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 16/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [16:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [16:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [16:00:00 16/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 131 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 16/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Incisional st: NotStopd t0: [16:00:00 16/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [16:00:00 16/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Constant st: NotStopd t0: [16:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [16:00:00 16/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 16/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [16:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [16:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:00:00 16/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [16:00:00 16/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 20 vu: ml t0: [16:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml t0: [16:00:00 16/12/2009] tf: [17:00:00 16/12/2009] dt: 60 id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 15 vu: ml
t0: [16:00:00 16/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml
t0: [17:00:00 16/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 16/12/2009] id: Micro-Neb Treatment el: 0 cu: CSRU cg: RRT v1: alb/atr st: NotStopd t0: [17:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Aerosol-Cool st: NotStopd t0: [17:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 12 u1: lpm st: NotStopd
t0: [17:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 16/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [17:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [17:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 114 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [17:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [17:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [17:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [17:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml t0: [17:00:00 16/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [14:00:00 16/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [16:00:00 16/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 16/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 16/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 16/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 16/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [17:00:00 16/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 16/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 16/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [17:00:00 16/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [17:00:00 16/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 16/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 16/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [18:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 16/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [18:00:00 16/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 16/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [18:00:00 16/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [18:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [18:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 16/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 16/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [18:00:00 16/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 16/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [18:00:00 16/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [18:00:00 16/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [18:00:00 16/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Incisional st: NotStopd t0: [18:00:00 16/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [18:00:00 16/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Constant st: NotStopd t0: [18:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [18:00:00 16/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [18:00:00 16/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [18:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [18:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [18:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [18:00:00 16/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [18:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [18:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [18:30:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:30:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:30:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 121 u1: BPM st: NotStopd t0: [18:30:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:30:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 91 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [18:30:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [18:30:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:30:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [18:30:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [18:30:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:30:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:30:00 16/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml
tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 19 dn: 1 m1: Amiodarone HCl f1: INJ v1: 150 u1: mg m2: D5W f2: INJ v2: 50 u2: ml
t0: [18:00:00 16/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 147 rs: Manual st: NotStopd t0: [19:00:00 16/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 16/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [19:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 16/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [19:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 127 u1: BPM st: NotStopd t0: [19:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 110 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [19:00:00 16/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Incisional st: NotStopd t0: [19:00:00 16/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [19:00:00 16/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Constant st: NotStopd t0: [19:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [19:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [19:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [19:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [19:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [19:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 22 vu: ml
t0: [20:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [20:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PVC's st: NotStopd t0: [20:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 116 u1: BPM st: NotStopd t0: [20:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 95 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [20:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [20:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [20:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 16/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 16/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.1111 u1: Deg. C st: NotStopd t0: [20:00:00 16/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97 u1: Deg. F st: NotStopd t0: [20:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [20:00:00 16/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 20 vu: ml t0: [20:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
tf: [12:00:00 21/12/2009] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 21 dn: 1 m1: Metoprolol f1: INJ v1: 5 u1: mg
t0: [21:05:00 16/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [21:05:00 16/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [21:05:00 16/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [21:05:00 16/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [21:05:00 16/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 146 u1: mmHg rs: Final st: NotStopd t0: [21:05:00 16/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [21:05:00 16/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd
t0: [21:05:00 16/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: -1 v1: 0.84 rs: Final st: NotStopd t0: [21:05:00 16/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.6 rs: Final st: NotStopd
t0: [21:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [21:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 93 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [21:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [21:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [21:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [21:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 16/12/2009] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [21:00:00 16/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [21:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [21:00:00 16/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [21:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [22:00:00 16/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [22:00:00 16/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [22:00:00 16/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [22:00:00 16/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 16/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [22:00:00 16/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [22:00:00 16/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [22:00:00 16/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd
t0: [22:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [22:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [22:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [22:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [22:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [22:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 16/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 16/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 16/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 16/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 16/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 116 u1: BPM st: NotStopd t0: [23:00:00 16/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 16/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [23:00:00 16/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [23:00:00 16/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 16/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [23:00:00 16/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [23:00:00 16/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 16/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [23:00:00 16/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [23:00:00 16/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.2 u1: Deg. F st: NotStopd t0: [23:00:00 16/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [22:00:00 16/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [22:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 25 vu: ml t0: [22:00:00 16/12/2009] tf: [06:00:00 17/12/2009] dt: 480 id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 10 vu: ml t0: [23:00:00 16/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [23:00:00 16/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [23:00:00 16/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 20 vu: ml
t0: [23:00:00 16/12/2009] dt: 24 id: Drain #1 Total Out el: 3 cu: CSRU cg: -1 cv: 247 ap: none
t0: [22:00:00 16/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 200 vu: ml
t0: [23:00:00 16/12/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: -1 pv: -10 cv: -10 ap: none t0: [23:00:00 16/12/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: -1 pv: 10 cv: 1220 ap: none t0: [23:00:00 16/12/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: -1 pv: -10 cv: -467 ap: none t0: [23:00:00 16/12/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: -1 pv: -10 cv: 3576 ap: carryForward
t0: [00:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 116 u1: BPM st: NotStopd t0: [00:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [00:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [00:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [00:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [21:30:00 16/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: -1 v1: 1.8 rs: Final st: NotStopd t0: [01:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [01:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 112 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [01:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [01:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [01:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [01:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [01:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [01:14:00 17/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [01:14:00 17/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [01:14:00 17/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [01:14:00 17/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [01:14:00 17/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 163 rs: Final st: NotStopd t0: [01:14:00 17/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.17 rs: Final st: NotStopd t0: [01:14:00 17/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.7 rs: Final st: NotStopd
t0: [01:00:00 17/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [01:00:00 17/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [01:00:00 17/12/2009] id: Micro-Neb Treatment el: 0 cu: CSRU cg: -1 v1: Alb/Atr st: NotStopd
tf: [17:00:00 17/12/2009] pt: Unit Dose rt: IV fr: ONCE fs: 2 dn: 1 m1: Amiodarone HCl f1: INJ v1: 150 u1: mg
t0: [02:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 103 u1: BPM st: NotStopd t0: [02:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 119 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [02:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [02:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [02:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [02:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [02:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [02:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [03:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 103 u1: BPM st: NotStopd t0: [03:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [03:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [03:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [03:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [03:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [03:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [03:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [03:52:00 17/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [03:52:00 17/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -7 rs: Final st: NotStopd t0: [03:52:00 17/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [03:52:00 17/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 23 u1: mmHg rs: Final st: NotStopd t0: [03:52:00 17/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 140 u1: mmHg rs: Final st: NotStopd t0: [03:52:00 17/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [03:52:00 17/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [03:52:00 17/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd
t0: [03:30:00 17/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [03:30:00 17/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 33.4 u1: % rs: Final st: NotStopd t0: [03:30:00 17/12/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [03:30:00 17/12/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 459 rs: Final st: NotStopd t0: [03:30:00 17/12/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.5 u1: /mic l rs: Final st: NotStopd t0: [03:30:00 17/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd
t0: [04:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [04:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 97 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [04:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [04:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [04:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [04:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [04:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 17/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [04:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [04:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [04:00:00 17/12/2009] id: Stool Out Stool el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [04:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 25 vu: ml
t0: [23:00:00 17/12/2009] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: -1 cv: 0 ap: none
t0: [03:30:00 17/12/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [03:30:00 17/12/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 17/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [03:30:00 17/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [03:30:00 17/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [03:30:00 17/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [03:30:00 17/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [03:30:00 17/12/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 6 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 17/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.3 rs: Final st: NotStopd t0: [03:30:00 17/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd
t0: [03:52:00 17/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: -1 v1: 1.11 rs: Final st: NotStopd t0: [05:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [05:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 117 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [05:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [05:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [05:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [05:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [05:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [05:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 20 vu: ml
t0: [04:39:00 17/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [04:39:00 17/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [04:39:00 17/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [04:39:00 17/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [04:39:00 17/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 105 u1: mmHg rs: Final st: NotStopd t0: [04:39:00 17/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd
t0: [05:20:00 17/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [05:20:00 17/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [05:20:00 17/12/2009] id: Micro-Neb Treatment el: 0 cu: CSRU cg: -1 v1: Alb/Atr st: NotStopd t0: [05:20:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd
t0: [20:00:00 16/12/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [20:00:00 16/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 16/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 16/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 16/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [20:00:00 16/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 16/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 16/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [20:00:00 16/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [22:00:00 16/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [22:00:00 16/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 16/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [22:00:00 16/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 16/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 16/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [22:00:00 16/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [22:00:00 16/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 16/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 16/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 16/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [22:00:00 16/12/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 16/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 16/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 16/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [22:00:00 16/12/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 16/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [22:00:00 16/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [22:00:00 16/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Sanguinous st: NotStopd t0: [22:00:00 16/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [22:00:00 16/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [22:00:00 16/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd t0: [00:00:00 17/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 17/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 17/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [00:00:00 17/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 17/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 17/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 19 st: NotStopd t0: [00:00:00 17/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 17/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Dampened st: NotStopd t0: [00:00:00 17/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 17/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 17/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 17/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [00:00:00 17/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 17/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 17/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [02:00:00 17/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [02:00:00 17/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 17/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 17/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 17/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 17/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 17/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 17/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [04:00:00 17/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 17/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 17/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 17/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 17/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 17/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 17/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 17/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 17/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Dampened st: NotStopd t0: [04:00:00 17/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 17/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 17/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 17/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 17/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [04:00:00 17/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [04:00:00 17/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 17/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 17/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 17/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 17/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [04:00:00 17/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [04:00:00 17/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 17/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 17/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 17/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 17/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 17/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 17/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 17/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [04:00:00 17/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [04:00:00 17/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Sanguinous st: NotStopd t0: [04:00:00 17/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [04:00:00 17/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [04:00:00 17/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd t0: [06:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 17/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [06:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [06:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 17/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 17/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 17/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 17/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 131 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 17/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [06:00:00 17/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [06:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [06:00:00 17/12/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [06:00:00 17/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [06:00:00 17/12/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [06:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [06:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [05:00:00 17/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [05:00:00 17/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.1111 u1: Deg. C st: NotStopd t0: [05:00:00 17/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97 u1: Deg. F st: NotStopd
t0: [07:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [07:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 118 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [07:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [07:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [07:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:00:00 17/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 149 rs: Manual st: NotStopd
t0: [06:00:00 17/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [07:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [07:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [07:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [08:00:00 17/12/2009] id: Pain Level el: 0 cu: CSRU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [08:00:00 17/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 17/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [08:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 17/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 17/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 17/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 17/12/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [08:00:00 17/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 17/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 103 u1: BPM st: NotStopd t0: [08:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 17/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 17/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 17/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [08:00:00 17/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 17/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 17/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 19 st: NotStopd t0: [08:00:00 17/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 17/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 17/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Dampened st: NotStopd t0: [08:00:00 17/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 17/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 17/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 17/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 17/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 17/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 17/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 17/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 17/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 17/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 17/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 17/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 17/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 17/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 127 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 17/12/2009] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [08:00:00 17/12/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [08:00:00 17/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Incisional st: NotStopd t0: [08:00:00 17/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [08:00:00 17/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Aching st: NotStopd t0: [08:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [08:00:00 17/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 17/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Diff to Palpate st: NotStopd t0: [08:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [08:00:00 17/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 17/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 17/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 17/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 17/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 17/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [08:00:00 17/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 17/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 17/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 17/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 17/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 17/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [08:00:00 17/12/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Chairfast st: NotStopd t0: [08:00:00 17/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 17/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 17/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 17/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Very Poor st: NotStopd t0: [08:00:00 17/12/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 17/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 17/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [08:00:00 17/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Straw st: NotStopd t0: [08:00:00 17/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 17/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [08:00:00 17/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd t0: [09:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 17/12/2009] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [09:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 17/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 17/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [09:00:00 17/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 17/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [09:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 113 u1: BPM st: NotStopd t0: [09:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 17/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [09:00:00 17/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [09:00:00 17/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 17/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 17/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [09:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [09:00:00 17/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [09:00:00 17/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [09:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [09:00:00 17/12/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [09:00:00 17/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 17/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [09:00:00 17/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [09:00:00 17/12/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 17/12/2009] id: Pain Level el: 0 cu: CSRU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [10:00:00 17/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 17/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 97 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [10:00:00 17/12/2009] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Activity st: NotStopd t0: [10:00:00 17/12/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [10:00:00 17/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Incisional st: NotStopd t0: [10:00:00 17/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [10:00:00 17/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Burning st: NotStopd t0: [10:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd
t0: [08:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [10:00:00 17/12/2009] tf: [14:00:00 17/12/2009] dt: 240 id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [08:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml t0: [09:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [09:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [09:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml t0: [09:00:00 17/12/2009] tf: [18:00:00 17/12/2009] dt: 540 id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 30 vu: ml t0: [10:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [10:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 10 vu: ml t0: [10:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml t0: [10:00:00 17/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 10 vu: ml
t0: [10:27:00 17/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [10:27:00 17/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [10:27:00 17/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [10:27:00 17/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [10:27:00 17/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 149 u1: mmHg rs: Final st: NotStopd t0: [10:27:00 17/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [10:27:00 17/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 160 rs: Final st: NotStopd t0: [10:27:00 17/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32 u1: % rs: Final st: NotStopd t0: [10:27:00 17/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd
t0: [09:00:00 17/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [10:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 106 u1: BPM st: NotStopd t0: [10:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [10:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [10:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [11:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 17/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [11:00:00 17/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [11:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 138 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [11:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [11:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [11:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [11:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 17/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [11:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [11:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [11:00:00 17/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [11:00:00 17/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 17/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [11:00:00 17/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 17/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 17/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [12:00:00 17/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [12:00:00 17/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 17/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 17/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 17/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 17/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [12:00:00 17/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 17/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 19 st: NotStopd t0: [12:00:00 17/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 17/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 24 st: NotStopd t0: [12:00:00 17/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 17/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 17/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 17/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 17/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 17/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [12:00:00 17/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 17/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 17/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 17/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 17/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 17/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 17/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 17/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 17/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 17/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 17/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 17/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 17/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [12:00:00 17/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 17/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 17/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 17/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [12:00:00 17/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [12:00:00 17/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Straw st: NotStopd t0: [12:00:00 17/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [12:00:00 17/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [12:00:00 17/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd t0: [13:00:00 17/12/2009] id: Pain Level el: 0 cu: CSRU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [13:00:00 17/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 17/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [13:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 17/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [13:00:00 17/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [13:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [13:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 17/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 17/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [13:00:00 17/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [13:00:00 17/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [13:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 17/12/2009] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [13:00:00 17/12/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [13:00:00 17/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Incisional st: NotStopd t0: [13:00:00 17/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [13:00:00 17/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [13:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [13:00:00 17/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [13:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [13:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 17/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [13:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 20 vu: ml t0: [13:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 220 vu: ml t0: [13:00:00 17/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [14:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [14:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [14:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [14:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [14:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [14:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [14:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [15:00:00 17/12/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 17/12/2009] id: INV Line#3 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 17/12/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 17/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 17/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 17/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 17/12/2009] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [12:00:00 21/12/2009] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 15 dn: 1 m1: Metoprolol f1: INJ v1: 5 u1: mg
t0: [13:00:00 17/12/2009] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [13:00:00 17/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 17/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 17/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [13:00:00 17/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [13:00:00 17/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [13:00:00 17/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.8 u1: Deg. F st: NotStopd t0: [15:00:00 17/12/2009] id: Pain Level el: 0 cu: CSRU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [15:00:00 17/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 17/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 17/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [15:00:00 17/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [15:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [15:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 17/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [15:00:00 17/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [15:00:00 17/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [15:00:00 17/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [15:00:00 17/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 17/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 119 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 17/12/2009] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [15:00:00 17/12/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [15:00:00 17/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Right Chest st: NotStopd t0: [15:00:00 17/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [15:00:00 17/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Aching st: NotStopd t0: [15:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [15:00:00 17/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [15:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [15:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [15:00:00 17/12/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [15:00:00 17/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [15:00:00 17/12/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [15:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [15:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [15:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 75 vu: ml t0: [15:00:00 17/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vu: ml
t0: [16:03:00 17/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [16:03:00 17/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [16:03:00 17/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [16:03:00 17/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [16:03:00 17/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [16:03:00 17/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31 u1: % rs: Final st: NotStopd t0: [16:03:00 17/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.15 rs: Final st: NotStopd t0: [16:03:00 17/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd
t0: [16:00:00 17/12/2009] id: Pain Level el: 0 cu: CSRU cg: -1 v1: 2-Mild st: NotStopd t0: [16:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 17/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [16:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [16:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 17/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [16:00:00 17/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [16:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 108 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:00:00 17/12/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: 2-Mild st: NotStopd t0: [16:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [16:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [16:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [16:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 91 u1: % st: NotStopd t0: [16:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [16:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [16:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml t0: [16:00:00 17/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 5 vu: ml
t0: [16:00:00 17/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [16:00:00 17/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.8 u1: Deg. F st: NotStopd
t0: [17:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 17/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [17:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [17:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 17/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [17:00:00 17/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [17:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 124 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [17:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [17:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [17:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [17:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [17:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [11:00:00 17/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 17/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 17/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [11:00:00 17/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [12:00:00 17/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 17/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [12:00:00 17/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 17/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [12:00:00 17/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [12:00:00 17/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [12:00:00 17/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Scant st: NotStopd t0: [15:00:00 17/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 17/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 17/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thin st: NotStopd t0: [15:00:00 17/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [16:00:00 17/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [16:00:00 17/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 17/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 17/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 17/12/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 17/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 17/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 17/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 24 st: NotStopd t0: [16:00:00 17/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 17/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 17/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 17/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 17/12/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 17/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 17/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 17/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 17/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 17/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 17/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 17/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 17/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 17/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 17/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 17/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 17/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 17/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 17/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 17/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thin st: NotStopd t0: [16:00:00 17/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Scant st: NotStopd t0: [16:00:00 17/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [16:00:00 17/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 17/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 17/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 17/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [16:00:00 17/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [16:00:00 17/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Serous st: NotStopd t0: [16:00:00 17/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [16:00:00 17/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [16:00:00 17/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd t0: [17:00:00 17/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 17/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [17:00:00 17/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [17:00:00 17/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 17/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 17/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [17:00:00 17/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thin st: NotStopd t0: [17:00:00 17/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [17:00:00 17/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [18:00:00 17/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [18:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 17/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [18:00:00 17/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [18:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 17/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 17/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 4 u1: lpm st: NotStopd t0: [18:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 115 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [18:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [18:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [18:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 17/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [18:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [18:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [18:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml t0: [18:00:00 17/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [23:00:00 17/12/2009] dt: 24 id: Drain #1 Total Out el: 3 cu: CSRU cg: -1 cv: 85 ap: none
id: Amiodarone el: 100 cu: MICU cg: -1 io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions am: 600 du: mgmin rt: IV Drip id: Amiodarone el: 200 cu: CSRU cg: -1 io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions am: 600 du: mgmin rt: IV Drip
tf: [11:00:00 20/12/2009] pt: Unit Dose rt: IV fr: Q6H fs: 18, 0, 6, 12 dn: 4 m1: Metoprolol f1: INJ v1: 5 u1: mg tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV fr: INFUSION dn: 0 m1: Amiodarone HCl f1: INJ v1: 600 u1: mg m2: D5W (EXCEL BAG) f2: INJ v2: 250 u2: ml
id: D5W el: 1 cu: MICU cg: -1 io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 2 cu: CSRU cg: -1 io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [18:00:00 17/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [18:00:00 17/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [18:00:00 17/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thick st: NotStopd
t0: [19:00:00 17/12/2009] id: Pain Level el: 0 cu: CSRU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [19:00:00 17/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 17/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [19:00:00 17/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [19:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 17/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [19:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [19:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 17/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [19:00:00 17/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [19:00:00 17/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 4 u1: lpm st: NotStopd t0: [19:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [19:00:00 17/12/2009] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [19:00:00 17/12/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [19:00:00 17/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Incisional st: NotStopd t0: [19:00:00 17/12/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [19:00:00 17/12/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Aching st: NotStopd t0: [19:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [19:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 73.9 u1: kg st: NotStopd t0: [19:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [19:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [19:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [19:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 35 vu: ml
t0: [16:00:00 17/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 17/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd
t0: [20:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 17/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [20:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 17/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 17/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 17/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [20:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 17/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 17/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [20:00:00 17/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [20:00:00 17/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 17/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [20:00:00 17/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 17/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 17/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 17/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 17/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 17/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 17/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [20:00:00 17/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [20:00:00 17/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 17/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 17/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 17/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 17/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 17/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 17/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 17/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 17/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [20:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [20:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [20:00:00 17/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 17/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 17/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 17/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 17/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 17/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 17/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 17/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [20:00:00 17/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [20:00:00 17/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 17/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [20:00:00 17/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [20:00:00 17/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 17/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd
t0: [20:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 125 vu: ml
t0: [21:00:00 17/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [21:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 17/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [21:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [21:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [21:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 17/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [22:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 17/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 17/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [22:00:00 17/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [22:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 17/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 17/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [22:00:00 17/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 17/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [22:00:00 17/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [22:00:00 17/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [22:00:00 17/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [22:00:00 17/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 17/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 17/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [22:00:00 17/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 17/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [22:00:00 17/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 17/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 17/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [22:00:00 17/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 17/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 17/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [22:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [22:00:00 17/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [22:00:00 17/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 17/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 17/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 17/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 17/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [22:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 17/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 17/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 17/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [22:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 17/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [22:00:00 17/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [22:00:00 17/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [22:00:00 17/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [22:00:00 17/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [22:00:00 17/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [22:00:00 17/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [21:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [21:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [21:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [22:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [22:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [22:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [22:00:00 17/12/2009] id: Pain Level el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [22:00:00 17/12/2009] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 1-None to Mild st: NotStopd t0: [22:00:00 17/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 17/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [22:00:00 17/12/2009] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 17/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 17/12/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [22:00:00 17/12/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [22:00:00 17/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [22:00:00 17/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [22:00:00 17/12/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [22:00:00 17/12/2009] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 17/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 17/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 17/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 17/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 17/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [23:00:00 17/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 17/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:00:00 17/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [23:00:00 17/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 17/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [23:00:00 17/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 17/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 17/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 17/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [23:00:00 17/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [23:00:00 17/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [23:00:00 17/12/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 17/12/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -37.5 cv: -37.5 ap: none t0: [23:00:00 17/12/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 22.5 cv: 502.5 ap: none t0: [23:00:00 17/12/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 22.5 cv: 512.5 ap: none t0: [23:00:00 17/12/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 60 cv: 1470 ap: none t0: [23:00:00 17/12/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -37.5 cv: -1042.5 ap: none t0: [23:00:00 17/12/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 60 cv: 1555 ap: none t0: [23:00:00 17/12/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -37.5 cv: 2533.5 ap: carryForward
t0: [20:00:00 17/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 17/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 18/12/2009] id: Pain Level el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [00:00:00 18/12/2009] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 1-None to Mild st: NotStopd t0: [00:00:00 18/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 18/12/2009] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 18/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [00:00:00 18/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 18/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 18/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 18/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 18/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 18/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 18/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 18/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [00:00:00 18/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 18/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [00:00:00 18/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 18/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 18/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 18/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 18/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 18/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 18/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 18/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 18/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 18/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 18/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 18/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 18/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 18/12/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [00:00:00 18/12/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [00:00:00 18/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [00:00:00 18/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [00:00:00 18/12/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [00:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:00:00 18/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 18/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 18/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 18/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 18/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [00:00:00 18/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 18/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 18/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 18/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 18/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 18/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 18/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 18/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [00:00:00 18/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [00:00:00 18/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 18/12/2009] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 18/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 18/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 18/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 18/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [00:00:00 18/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 18/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 132 rs: Manual st: NotStopd t0: [00:00:00 18/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [00:00:00 18/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [00:00:00 18/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 18/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 18/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [00:00:00 18/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [00:00:00 18/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [00:00:00 18/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [01:00:00 18/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 18/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 18/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 18/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [01:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 18/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [01:00:00 18/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 18/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [01:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [01:00:00 18/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 18/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 18/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [01:00:00 18/12/2009] tf: [10:34:00 18/12/2009] dt: 574 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [01:00:00 18/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [01:00:00 18/12/2009] tf: [10:34:00 18/12/2009] dt: 574 id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 18/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 18/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 18/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 18/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 18/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 18/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 18/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 18/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 18/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [02:00:00 18/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 18/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 18/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [02:00:00 18/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 18/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [02:00:00 18/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 18/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [02:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 18/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [02:00:00 18/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [02:00:00 18/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [02:00:00 18/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [02:00:00 18/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [02:00:00 18/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [02:00:00 18/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 18/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [02:00:00 18/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 18/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [02:00:00 18/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 18/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [02:00:00 18/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 18/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 18/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [02:00:00 18/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 18/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [02:00:00 18/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [02:00:00 18/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 18/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [02:00:00 18/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 18/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [02:00:00 18/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 18/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 18/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 18/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [02:00:00 18/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 18/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 18/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 18/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 18/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [02:00:00 18/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 88 u1: % st: NotStopd t0: [02:00:00 18/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 18/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 18/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 18/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [02:00:00 18/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 18/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [02:00:00 18/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [02:00:00 18/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [02:00:00 18/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [02:00:00 18/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [02:00:00 18/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [02:00:00 18/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [02:30:00 18/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:30:00 18/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:30:00 18/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [02:30:00 18/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [02:30:00 18/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [02:30:00 18/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Medium Conc Mask st: NotStopd t0: [02:30:00 18/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 8 u1: lpm st: NotStopd t0: [02:30:00 18/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [02:30:00 18/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [02:30:00 18/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:30:00 18/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [02:30:00 18/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:30:00 18/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [02:30:00 18/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 18/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [02:00:00 18/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [02:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [02:00:00 18/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [02:00:00 18/12/2009] tf: [10:34:00 18/12/2009] dt: 514 id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [02:00:00 18/12/2009] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:30:00 18/12/2009] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 18/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 18/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 18/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 18/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [03:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 18/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [03:00:00 18/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 18/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [03:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [03:00:00 18/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 18/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 18/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [03:00:00 18/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [03:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [03:00:00 18/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [03:00:00 18/12/2009] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 18/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 18/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [04:00:00 18/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 18/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 18/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 18/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 18/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 18/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [04:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 18/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 18/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [04:00:00 18/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 18/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [04:00:00 18/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 18/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 18/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 18/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 18/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 18/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 18/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 18/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 18/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 18/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 18/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 18/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 18/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 18/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [04:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 18/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [04:00:00 18/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 18/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 18/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [04:00:00 18/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 18/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 18/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 18/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 18/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 18/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 18/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 18/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [04:00:00 18/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [04:00:00 18/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [04:00:00 18/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 18/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 18/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 18/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 18/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [04:00:00 18/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [04:00:00 18/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [04:00:00 18/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [04:00:00 18/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 18/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 18/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [03:00:00 18/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [04:00:00 18/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [04:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [04:00:00 18/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [04:00:00 18/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [04:00:00 18/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: RN vo: 25 vu: ml
t0: [04:00:00 18/12/2009] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [03:40:00 18/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23.5 rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 33.2 u1: % rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 509 rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.42 u1: /mic l rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23.5 rs: Final st: NotStopd
t0: [05:00:00 18/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 18/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 18/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 18/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [05:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 18/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [05:00:00 18/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 18/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 73.9 u1: kg st: NotStopd t0: [05:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 18/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 18/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 18/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [05:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [05:00:00 18/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [05:00:00 18/12/2009] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 18/12/2009] id: Pain Level el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [03:00:00 18/12/2009] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 0-None st: NotStopd t0: [03:00:00 18/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 18/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [03:00:00 18/12/2009] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 18/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [03:00:00 18/12/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [03:00:00 18/12/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [03:00:00 18/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [03:00:00 18/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [03:00:00 18/12/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [03:00:00 18/12/2009] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd
t0: [03:40:00 18/12/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 11 rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 117 rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.4 u1: mEq/L rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 144 rs: Final st: NotStopd
t0: [06:00:00 18/12/2009] id: Pain Level el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [06:00:00 18/12/2009] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 0-None st: NotStopd t0: [06:00:00 18/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 18/12/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [06:00:00 18/12/2009] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 18/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 18/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [06:00:00 18/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 18/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 18/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 18/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 18/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [06:00:00 18/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 18/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [06:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 18/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 18/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [06:00:00 18/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [06:00:00 18/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 18/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 24 st: NotStopd t0: [06:00:00 18/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [06:00:00 18/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 18/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [06:00:00 18/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 18/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [06:00:00 18/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 18/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [06:00:00 18/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 18/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 18/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [06:00:00 18/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 18/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 18/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 18/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [06:00:00 18/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 18/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 18/12/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [06:00:00 18/12/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [06:00:00 18/12/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [06:00:00 18/12/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [06:00:00 18/12/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [06:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [06:00:00 18/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 18/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 18/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 18/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 18/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 18/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 18/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 18/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 18/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [06:00:00 18/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 18/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 18/12/2009] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 18/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 18/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 18/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [06:00:00 18/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 18/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 18/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [06:00:00 18/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [06:00:00 18/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [06:00:00 18/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [06:00:00 18/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [06:00:00 18/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [06:00:00 18/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [06:00:00 18/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [06:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [06:00:00 18/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [06:00:00 18/12/2009] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 18/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [06:00:00 18/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [06:00:00 18/12/2009] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [06:00:00 18/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [06:00:00 18/12/2009] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [06:00:00 18/12/2009] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [06:30:00 18/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:30:00 18/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:30:00 18/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [06:30:00 18/12/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [06:30:00 18/12/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [06:30:00 18/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:30:00 18/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [06:30:00 18/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:30:00 18/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [06:30:00 18/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:30:00 18/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:30:00 18/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 18/12/2009] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 17/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 18/12/2009] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [03:00:00 18/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [03:00:00 18/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Medium Conc Mask st: NotStopd t0: [03:00:00 18/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 8 u1: lpm st: NotStopd t0: [04:00:00 18/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 18/12/2009] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [06:00:00 18/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [07:00:00 18/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 18/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 18/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 18/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [07:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 18/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [07:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [07:00:00 18/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 18/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [07:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 18/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 18/12/2009] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [07:00:00 18/12/2009] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [07:00:00 18/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 18/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: RN ai: 336 vo: 10 vu: ml t0: [07:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [07:00:00 18/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [07:00:00 18/12/2009] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Medium t0: [07:00:00 18/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [07:00:00 18/12/2009] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [07:05:00 18/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.08 rs: Final st: NotStopd
t0: [08:00:00 18/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 18/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 18/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 18/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 18/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 18/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 18/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [08:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 18/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 18/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v2: Clean and Dry st: NotStopd t0: [08:00:00 18/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 18/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Dozing Intermit st: NotStopd t0: [08:00:00 18/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 18/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 18/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 18/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 118 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [08:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [08:00:00 18/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 18/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [08:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [08:00:00 18/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 18/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 18/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 18/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 18/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sleeping st: NotStopd t0: [08:00:00 18/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [08:00:00 18/12/2009] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [08:00:00 18/12/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Serous st: NotStopd t0: [08:00:00 18/12/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 18/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd
t0: [08:00:00 18/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [08:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [08:00:00 18/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [08:00:00 18/12/2009] id: Amiodarone el: 2 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
tf: [00:00:00 20/12/2009] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium f1: INJ v1: 25000 u1: UNIT m2: D5W f2: INJ v2: 250 u2: ml
t0: [08:00:00 18/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [08:00:00 18/12/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [08:00:00 18/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 18/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 18/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 18/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 18/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 18/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 18/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 18/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [08:00:00 18/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 18/12/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd t0: [09:00:00 18/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 18/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 18/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 18/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 18/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [09:00:00 18/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [09:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 18/12/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [09:00:00 18/12/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [09:00:00 18/12/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [09:00:00 18/12/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [09:00:00 18/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 24 st: NotStopd t0: [09:00:00 18/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [09:00:00 18/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 18/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [09:00:00 18/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 18/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 18/12/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 18/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 128 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [09:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [09:00:00 18/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [09:00:00 18/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 18/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 18/12/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [09:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [09:00:00 18/12/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 18/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 18/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [09:00:00 18/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [09:00:00 18/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [09:00:00 18/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [09:00:00 18/12/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 18/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 18/12/2009] id: D5W IV Infusions el: 2 cu: CSRU cg: -1 ai: 336 vo: 10 vu: ml t0: [09:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [09:00:00 18/12/2009] id: peg tail flush Free Form Intake el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [09:00:00 18/12/2009] id: Stool Out Stool el: 1 cu: CSRU cg: -1 vu: ml es: Medium t0: [09:00:00 18/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml t0: [09:00:00 18/12/2009] id: Drain Out #1 Pigtail el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [09:00:00 18/12/2009] id: Amiodarone el: 2 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/12/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: -1 cv: 0 ap: none t0: [23:00:00 18/12/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: -1 cv: 0 ap: none t0: [23:00:00 18/12/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: -1 cv: 225 ap: none t0: [23:00:00 18/12/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: -1 cv: 225 ap: none t0: [23:00:00 18/12/2009] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: -1 cv: 0 ap: carryForward t0: [23:00:00 18/12/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: -1 cv: 355 ap: none t0: [23:00:00 18/12/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: -1 cv: -210 ap: carryForward t0: [23:00:00 18/12/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: -1 cv: 435 ap: carryForward t0: [23:00:00 18/12/2009] dt: 24 id: Drain #1 Total Out el: 3 cu: CSRU cg: -1 cv: 80 ap: none t0: [23:00:00 18/12/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: -1 cv: 2323.5 ap: carryForward
tf: [17:39:00 31/12/2009] dt: 19141 cu: MICU de: FA2
t0: [10:30:00 18/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 18/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [10:30:00 18/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: RN v1: Left Posterior st: NotStopd t0: [10:30:00 18/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 18/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:30:00 18/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:30:00 18/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:30:00 18/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:30:00 18/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [10:30:00 18/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [10:30:00 18/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:30:00 18/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 18/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [10:30:00 18/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [10:30:00 18/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:30:00 18/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:30:00 18/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 4 u1: lpm st: NotStopd t0: [10:30:00 18/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [10:30:00 18/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [10:30:00 18/12/2009] id: Pain Location el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [10:30:00 18/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:30:00 18/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [10:30:00 18/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [10:30:00 18/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:30:00 18/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:30:00 18/12/2009] id: Significant Events el: 0 cu: MICU cg: RN st: NotStopd t0: [10:30:00 18/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [10:30:00 18/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [10:30:00 18/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [10:30:00 18/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:30:00 18/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [10:30:00 18/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 18/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: RN v1: Serous st: NotStopd t0: [10:30:00 18/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: RN v1: Positive v2: Negative st: NotStopd t0: [10:30:00 18/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: RN v1: 20 cm st: NotStopd
t0: [10:30:00 18/12/2009] tf: [10:34:00 18/12/2009] dt: 4 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: RN ai: 304 vo: 18.75 vu: ml
t0: [10:30:00 18/12/2009] id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 18/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 18/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 18/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: RN v1: Left Posterior st: NotStopd t0: [11:00:00 18/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 18/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 18/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [11:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 18/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 18/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [11:00:00 18/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [11:00:00 18/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [11:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 18/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [11:00:00 18/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 16 st: NotStopd t0: [11:00:00 18/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [11:00:00 18/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [11:00:00 18/12/2009] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [11:00:00 18/12/2009] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [11:00:00 18/12/2009] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [11:00:00 18/12/2009] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [11:00:00 18/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [11:00:00 18/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [11:00:00 18/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [11:00:00 18/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [11:00:00 18/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [11:00:00 18/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [11:00:00 18/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [11:00:00 18/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [11:00:00 18/12/2009] id: Pain Location el: 0 cu: MICU cg: RN st: NotStopd t0: [11:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [11:00:00 18/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [11:00:00 18/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 18/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [11:00:00 18/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [11:00:00 18/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [11:00:00 18/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [11:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [11:00:00 18/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 18/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [11:00:00 18/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 18/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [11:00:00 18/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [11:00:00 18/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [11:00:00 18/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [11:00:00 18/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [11:00:00 18/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [11:00:00 18/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [11:00:00 18/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 18/12/2009] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [11:00:00 18/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [11:00:00 18/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [11:00:00 18/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: RN v1: Serous st: NotStopd t0: [11:00:00 18/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: RN v1: Dry and Intact st: NotStopd t0: [11:00:00 18/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: RN v1: Positive v2: Negative st: NotStopd t0: [11:00:00 18/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: RN v1: 20 cm st: NotStopd
t0: [11:00:00 18/12/2009] tf: [00:00:00 20/12/2009] dt: 2220 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: RN ai: 304 vo: 6.25 vu: ml
t0: [11:00:00 18/12/2009] tf: [22:30:00 19/12/2009] dt: 2130 id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
id: Heparin el: 100 cu: MICU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
t0: [12:00:00 18/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 18/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 18/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 18/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 st: D/C'd
io: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ra: 5 ru: ml/hr
tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 12 dn: 1 m1: Amiodarone HCl f1: INJ v1: 150 u1: mg m2: D5W f2: INJ v2: 50 u2: ml tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
id: D5W el: 1 cu: MICU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [12:00:00 18/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 18/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 18/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 18/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [12:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 18/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 18/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 18/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [12:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [12:00:00 18/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [12:00:00 18/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: RN ai: 304 vo: 12.5 vu: ml
t0: [12:00:00 18/12/2009] id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [03:40:00 18/12/2009] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [03:40:00 18/12/2009] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 49 rs: Final st: NotStopd
t0: [12:00:00 18/12/2009] tf: [00:00:00 20/12/2009] dt: 2160 id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 18/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: RN v1: Left Posterior st: NotStopd t0: [12:00:00 18/12/2009] id: HOB el: 0 cu: MICU cg: RN st: NotStopd t0: [12:00:00 18/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: RN v1: 20 cm st: NotStopd t0: [13:00:00 18/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 18/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [13:00:00 18/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 18/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 18/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 18/12/2009] id: Extubation Date el: 0 cu: MICU cg: RN v1: 10 v2: 22 st: NotStopd t0: [13:00:00 18/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [13:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 18/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 18/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [13:00:00 18/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 4 u1: lpm st: NotStopd t0: [13:00:00 18/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [13:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [13:00:00 18/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 18/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [13:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:00:00 18/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 18/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 18/12/2009] tf: [10:00:00 19/12/2009] dt: 1260 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: RN ai: 304 vo: 12.5 vu: ml
t0: [13:00:00 18/12/2009] id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 18/12/2009] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 18/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 18/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 18/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 18/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [14:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 18/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [14:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [14:00:00 18/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 18/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [14:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:00:00 18/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 18/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 18/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 18/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 18/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 18/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [15:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 18/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [15:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [15:00:00 18/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 18/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [15:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 18/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 18/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 18/12/2009] id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 18/12/2009] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 18/12/2009] id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 18/12/2009] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 18/12/2009] id: Radiologic Study el: 0 cu: MICU cg: RN st: NotStopd t0: [15:00:00 18/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 18/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 18/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 18/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 18/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 18/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 18/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd
t0: [15:00:00 18/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: RN ai: 304 vo: 25 vu: ml
t0: [15:00:00 18/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [15:00:00 18/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 18/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [15:00:00 18/12/2009] id: Pain Level el: 0 cu: MICU cg: RN v1: 5-Moderate st: NotStopd t0: [15:00:00 18/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [15:00:00 18/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 18/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 18/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 18/12/2009] id: Pain Cause el: 0 cu: MICU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [15:00:00 18/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 5-Moderate st: NotStopd t0: [15:00:00 18/12/2009] id: Pain Location el: 0 cu: MICU cg: RN st: NotStopd t0: [15:00:00 18/12/2009] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push v2: IV Push st: NotStopd t0: [16:00:00 18/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 18/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 18/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 18/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 18/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 147 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [16:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [16:00:00 18/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 18/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [16:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 18/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 18/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 18/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [16:00:00 18/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [16:00:00 18/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 18/12/2009] id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 18/12/2009] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 18/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 18/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 18/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 18/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 18/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 18/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 16 st: NotStopd t0: [16:00:00 18/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 18/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 18/12/2009] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 18/12/2009] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 10 v2: 24 st: NotStopd t0: [16:00:00 18/12/2009] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 18/12/2009] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 10 v2: 25 st: NotStopd t0: [16:00:00 18/12/2009] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [16:00:00 18/12/2009] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 18/12/2009] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 18/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:00:00 18/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 18/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 18/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 18/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 18/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 18/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 18/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 18/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 18/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 18/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 18/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 18/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 18/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 18/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 18/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [16:00:00 18/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [16:00:00 18/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 18/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 18/12/2009] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 18/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 18/12/2009] id: Braden Activity el: 0 cu: MICU cg: RN v1: Chairfast st: NotStopd t0: [16:00:00 18/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 18/12/2009] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 18/12/2009] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 18/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 18/12/2009] id: Braden Score el: 0 cu: MICU cg: RN v1: 15 u1: number st: NotStopd t0: [16:00:00 18/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 18/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: RN ai: 304 vo: 12.5 vu: ml
t0: [16:00:00 18/12/2009] id: HOB el: 0 cu: MICU cg: RN st: NotStopd
t0: [17:00:00 18/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 18/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 18/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 18/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [17:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 18/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 18/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 18/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [17:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 18/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 18/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 18/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: RN ai: 304 vo: 12.5 vu: ml
t0: [17:00:00 18/12/2009] id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 18/12/2009] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 18/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 155 rs: Manual st: NotStopd t0: [18:00:00 18/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 119 rs: Manual st: NotStopd
t0: [17:00:00 18/12/2009] id: Urine Out Void el: 1 cu: MICU cg: RN vu: ml
t0: [18:00:00 18/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 18/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 18/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 18/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [18:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 18/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [18:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [18:00:00 18/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 18/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [18:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 18/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 18/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: RN ai: 304 vo: 12.5 vu: ml
t0: [18:00:00 18/12/2009] id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 18/12/2009] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 18/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 18/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 18/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 18/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [19:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 18/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [19:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 18/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 18/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [19:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [19:00:00 18/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 89 u1: % st: NotStopd t0: [19:00:00 18/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 18/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [19:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml
t0: [19:00:00 18/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 18/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 18/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Chair st: NotStopd t0: [20:00:00 18/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 5-Moderate st: NotStopd t0: [20:00:00 18/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [20:00:00 18/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 18/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 18/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 18/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [20:00:00 18/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 18/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 18/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 18/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 18/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 18/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 18/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 18/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 18/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [20:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 18/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 18/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 18/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [20:00:00 18/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 18/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 18/12/2009] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 18/12/2009] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 24 st: NotStopd t0: [20:00:00 18/12/2009] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 18/12/2009] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 25 st: NotStopd t0: [20:00:00 18/12/2009] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [20:00:00 18/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 18/12/2009] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 18/12/2009] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 18/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 18/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 18/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 18/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 18/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [20:00:00 18/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 18/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 18/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 18/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 18/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 18/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 18/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 18/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [20:00:00 18/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 5-Moderate st: NotStopd t0: [20:00:00 18/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push v2: IV Push st: NotStopd t0: [20:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [20:00:00 18/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [20:00:00 18/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 18/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 18/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 18/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [20:00:00 18/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [20:00:00 18/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 18/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 18/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 18/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 18/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 18/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 18/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [20:00:00 18/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [20:00:00 18/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [20:00:00 18/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Cloudy st: NotStopd t0: [20:00:00 18/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 18/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 18/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 18/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 18/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [21:00:00 18/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 18/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 18/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 18/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [21:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 18/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [21:00:00 18/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 18/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [21:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [21:00:00 18/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [21:00:00 18/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 18/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [20:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [21:00:00 18/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [21:00:00 18/12/2009] tf: [09:00:00 29/12/2009] dt: 15120 id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 250 vu: ml
t0: [20:00:00 18/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 18/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 18/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 18/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/12/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 cv: 0 ap: none t0: [23:00:00 18/12/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 cv: 910 ap: none t0: [23:00:00 18/12/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 cv: 990 ap: carryForward
t0: [22:00:00 18/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 18/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 18/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 18/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [22:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 18/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [22:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [22:00:00 18/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 18/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [22:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [22:00:00 18/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 18/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 18/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 18/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 18/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 18/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 18/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [23:00:00 18/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 18/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 18/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [23:00:00 18/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 18/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [23:00:00 18/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [23:00:00 18/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 18/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 18/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [22:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [23:00:00 18/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [23:00:00 18/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml
t0: [22:00:00 18/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 18/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 18/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 18/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/12/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: 17.5 cv: 17.5 ap: none t0: [23:00:00 18/12/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 17.5 cv: 455 ap: none t0: [23:00:00 18/12/2009] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 17.5 cv: 455 ap: none t0: [23:00:00 18/12/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: 17.5 cv: -535 ap: carryForward t0: [23:00:00 18/12/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: 17.5 cv: 1998.5 ap: carryForward
t0: [20:00:00 18/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 18/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 18/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Left Chest st: NotStopd t0: [20:00:00 18/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 18/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [21:00:00 18/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 19/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 5-Moderate st: NotStopd t0: [00:00:00 19/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [00:00:00 19/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 19/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [00:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 19/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 19/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 19/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 19/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 19/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 19/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [00:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 19/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 19/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 19/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [00:00:00 19/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 19/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 19/12/2009] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 19/12/2009] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 24 st: NotStopd t0: [00:00:00 19/12/2009] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 19/12/2009] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 25 st: NotStopd t0: [00:00:00 19/12/2009] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [00:00:00 19/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 19/12/2009] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 19/12/2009] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 19/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 19/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [00:00:00 19/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 19/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 19/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [00:00:00 19/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 19/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 19/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 19/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 19/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 19/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 19/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 19/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 19/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [00:00:00 19/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 5-Moderate st: NotStopd t0: [00:00:00 19/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Left Chest st: NotStopd t0: [00:00:00 19/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push v2: IV Push st: NotStopd t0: [00:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 19/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 19/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 19/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [00:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [00:00:00 19/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 19/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 19/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [00:00:00 19/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 19/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 19/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [00:00:00 19/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 19/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 19/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 35.7778 u1: Deg. C st: NotStopd t0: [00:00:00 19/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 96.4 u1: Deg. F st: NotStopd t0: [00:00:00 19/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [00:00:00 19/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 19/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 19/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 19/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 125 rs: Manual st: NotStopd t0: [00:00:00 19/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [00:00:00 19/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml
t0: [00:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 19/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/12/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -287.5 cv: -287.5 ap: none t0: [23:00:00 19/12/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 12.5 cv: 885 ap: none t0: [23:00:00 19/12/2009] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 12.5 cv: 950 ap: none t0: [23:00:00 19/12/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -287.5 cv: 225 ap: carryForward t0: [23:00:00 19/12/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -287.5 cv: 2223.5 ap: carryForward
t0: [01:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [01:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [01:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [01:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [01:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [01:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [02:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 140 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [02:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [02:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [02:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 88 u1: % st: NotStopd t0: [02:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 19/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [01:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [02:00:00 19/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [02:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [02:00:00 19/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 200 vu: ml
t0: [01:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 19/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 19/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 18/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [00:00:00 19/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [02:00:00 19/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 19/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Cloudy st: NotStopd t0: [03:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [03:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [03:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [03:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [03:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [03:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 19/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 5-Moderate st: NotStopd t0: [04:00:00 19/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [04:00:00 19/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 19/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [04:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 19/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 19/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 19/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 19/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 19/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 19/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [04:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 19/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 19/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 19/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [04:00:00 19/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 19/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 19/12/2009] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 19/12/2009] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 24 st: NotStopd t0: [04:00:00 19/12/2009] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 19/12/2009] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 25 st: NotStopd t0: [04:00:00 19/12/2009] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 19/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 19/12/2009] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 19/12/2009] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 19/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 19/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [04:00:00 19/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 19/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 19/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 19/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 19/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 19/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 19/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 19/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 19/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 19/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 19/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [04:00:00 19/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 5-Moderate st: NotStopd t0: [04:00:00 19/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Left Chest st: NotStopd t0: [04:00:00 19/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push v2: IV Push st: NotStopd t0: [04:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [04:00:00 19/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 19/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 19/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [04:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [04:00:00 19/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 19/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 19/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:00:00 19/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 19/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [04:00:00 19/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 19/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 35.9444 u1: Deg. C st: NotStopd t0: [04:00:00 19/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 96.7 u1: Deg. F st: NotStopd t0: [04:00:00 19/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 19/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [04:00:00 19/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 19/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 19/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [03:00:00 19/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [03:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [04:00:00 19/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [04:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml
t0: [03:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 19/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 19/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [05:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 151 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [05:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [05:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [05:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [05:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 19/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [05:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml
t0: [05:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 19/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:30:00 19/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT v1: ALB/ATR st: NotStopd t0: [05:30:00 19/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Nasal Cannula st: NotStopd t0: [05:30:00 19/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 4 u1: lpm st: NotStopd t0: [05:30:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd
t0: [04:00:00 19/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [06:00:00 19/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 6-Mod to Severe st: NotStopd t0: [06:00:00 19/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [06:00:00 19/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 19/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [06:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 19/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [06:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [06:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 19/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 19/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 19/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 19/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 19/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [06:00:00 19/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 6-Mod to Severe st: NotStopd t0: [06:00:00 19/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Left Chest st: NotStopd t0: [06:00:00 19/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push st: NotStopd t0: [06:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 19/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [06:00:00 19/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [06:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [06:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [06:00:00 19/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [06:00:00 19/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [06:00:00 19/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 19/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 144 rs: Manual st: NotStopd
t0: [06:00:00 19/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [06:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [06:00:00 19/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vu: ml
t0: [06:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 19/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 19/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [08:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 140 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [08:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [08:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [08:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [08:00:00 19/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.1111 u1: Deg. C st: NotStopd t0: [08:00:00 19/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97 u1: Deg. F st: NotStopd t0: [08:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 19/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 25 vu: ml t0: [08:00:00 19/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vu: ml
t0: [08:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 19/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [16:00:00 20/12/2009] pt: IV Piggyback rt: IV fr: Q8H fs: 10, 18, 2 dn: 3 m1: Metronidazole f1: INJ v1: 500 u1: mg m2: NS f2: INJ v2: 100 u2: ml tf: [10:00:00 22/12/2009] pt: IV Piggyback rt: PB fr: QD fs: 18 dn: 1 m1: Levofloxacin f1: BAG v1: 500 u1: mg m2: Dextrose 5% f2: INJ v2: 100 u2: ml tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV fr: Q12H fs: 10, 22 dn: 2 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml
t0: [18:30:00 18/12/2009] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 28.3 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 26.6 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 12 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 83 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: Amylase Enzymes el: 0 cu: MICU cg: 1663 v1: 18 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 125 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 33.7 u1: % rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 26.9 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.6 u1: mEq/L rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 742 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.47 u1: /mic l rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [03:45:00 19/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 26.6 rs: Final st: NotStopd t0: [12:00:00 19/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 19/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 19/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 19/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 19/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 19/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [12:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 19/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 19/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 19/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 16 st: NotStopd t0: [12:00:00 19/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 19/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 19/12/2009] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 19/12/2009] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 10 v2: 25 st: NotStopd t0: [12:00:00 19/12/2009] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [12:00:00 19/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 19/12/2009] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 19/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 19/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [12:00:00 19/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 19/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 19/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 19/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 19/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 19/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 19/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 19/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 4 u1: lpm st: NotStopd t0: [12:00:00 19/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 19/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 19/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 131 u1: mmHg st: NotStopd t0: [12:00:00 19/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 19/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 19/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [12:00:00 19/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 19/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 19/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [12:00:00 19/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 19/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 19/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 19/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.6667 u1: Deg. C st: NotStopd t0: [12:00:00 19/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.2 u1: Deg. F st: NotStopd t0: [12:00:00 19/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 19/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [12:00:00 19/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 19/12/2009] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 19/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 125 rs: Manual st: NotStopd t0: [12:00:00 19/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [12:00:00 19/12/2009] id: Braden Activity el: 0 cu: MICU cg: RN v1: Chairfast st: NotStopd t0: [12:00:00 19/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 19/12/2009] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 19/12/2009] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 19/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [12:00:00 19/12/2009] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [12:00:00 19/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [12:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml
t0: [12:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 19/12/2009] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 19/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 19/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 19/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 19/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [08:00:00 19/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 19/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 19/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [08:00:00 19/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 19/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 19/12/2009] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 19/12/2009] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 24 st: NotStopd t0: [08:00:00 19/12/2009] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 19/12/2009] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 25 st: NotStopd t0: [08:00:00 19/12/2009] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 19/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 19/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [08:00:00 19/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 19/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 19/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: None v2: Intact st: NotStopd t0: [08:00:00 19/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 19/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 19/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 19/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 19/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 19/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 19/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [08:00:00 19/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 4 u1: lpm st: NotStopd t0: [08:00:00 19/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 19/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 19/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 19/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 19/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 19/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:00:00 19/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 19/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 19/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 19/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 19/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 19/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 19/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thin st: NotStopd t0: [08:00:00 19/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [08:00:00 19/12/2009] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Soft st: NotStopd t0: [08:00:00 19/12/2009] tf: [17:39:00 31/12/2009] dt: 17859 id: Stool Management el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [08:00:00 19/12/2009] id: Stool Management el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 19/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 19/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 19/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Light Yellow st: NotStopd t0: [08:00:00 19/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [08:00:00 19/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 19/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 19/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Appropriate st: NotStopd t0: [08:00:00 19/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 19/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 19/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 19/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 19/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 19/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 19/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [08:00:00 19/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [10:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 19/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:00:00 19/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [10:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 19/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [10:00:00 19/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [10:00:00 19/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [10:00:00 19/12/2009] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [10:00:00 19/12/2009] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 24 st: NotStopd t0: [10:00:00 19/12/2009] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [10:00:00 19/12/2009] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 25 st: NotStopd t0: [10:00:00 19/12/2009] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [10:00:00 19/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 19/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [10:00:00 19/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 4 u1: lpm st: NotStopd t0: [10:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 144 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [10:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [10:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [10:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [10:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [10:00:00 19/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thin st: NotStopd t0: [10:00:00 19/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [10:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 19/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 0 vu: ml st: Stopped t0: [10:00:00 19/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vu: ml
t0: [10:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 19/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/12/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 65 ap: none
tf: [17:00:00 20/12/2009] pt: IV Piggyback rt: IV fr: Q24H fs: 13 dn: 1 m1: Levofloxacin f1: BAG v1: 500 u1: mg m2: Dextrose 5% f2: INJ v2: 100 u2: ml
t0: [13:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [13:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 153 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [13:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [13:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [13:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: RN ai: 304 vo: 12.5 vu: ml t0: [13:00:00 19/12/2009] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 75 vu: ml
t0: [13:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [13:30:00 19/12/2009] id: Pain Level el: 0 cu: MICU cg: RN v1: 10-Worst st: NotStopd t0: [13:30:00 19/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:30:00 19/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [13:30:00 19/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [13:30:00 19/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:30:00 19/12/2009] tf: [17:39:00 31/12/2009] dt: 17529 id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 10 v2: 26 st: NotStopd t0: [13:30:00 19/12/2009] tf: [17:39:00 31/12/2009] dt: 17529 id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [13:30:00 19/12/2009] tf: [17:39:00 31/12/2009] dt: 17529 id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:30:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [13:30:00 19/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 10-Worst st: NotStopd t0: [13:30:00 19/12/2009] id: Pain Location el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [13:30:00 19/12/2009] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [13:30:00 19/12/2009] id: Pain Type el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [13:30:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:30:00 19/12/2009] id: Untoward Effect el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 19/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 19/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [14:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 19/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [14:00:00 19/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [14:00:00 19/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 16 st: NotStopd t0: [14:00:00 19/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 19/12/2009] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 19/12/2009] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 10 v2: 25 st: NotStopd t0: [14:00:00 19/12/2009] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [14:00:00 19/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 19/12/2009] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 19/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 19/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [14:00:00 19/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 4 u1: lpm st: NotStopd t0: [14:00:00 19/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [14:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [14:00:00 19/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 19/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [14:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 19/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: RN ai: 304 vo: 12.5 vu: ml
t0: [14:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 19/12/2009] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: Redness st: NotStopd t0: [08:00:00 19/12/2009] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 st: NotStopd t0: [10:00:00 19/12/2009] id: IV #1 D/C Date el: 0 cu: MICU cg: -1 v1: 10 v2: 26 st: NotStopd t0: [10:00:00 19/12/2009] id: IV #2 D/C Date el: 0 cu: MICU cg: -1 st: NotStopd t0: [10:00:00 19/12/2009] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: Erythematous st: NotStopd t0: [10:00:00 19/12/2009] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 st: NotStopd
t0: [15:00:00 19/12/2009] id: IV #1 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [15:00:00 19/12/2009] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [15:00:00 19/12/2009] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 st: D/C'd t0: [15:00:00 19/12/2009] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 st: D/C'd
t0: [14:00:00 19/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [14:00:00 19/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Scant st: NotStopd t0: [14:00:00 19/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 19/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [15:00:00 19/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 19/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 19/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [15:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [15:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 19/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Chair st: NotStopd t0: [15:00:00 19/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 19/12/2009] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 148 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [15:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [15:00:00 19/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [15:00:00 19/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [15:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 81 u1: % st: NotStopd t0: [15:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 19/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 19/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 19/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 19/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [16:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 19/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 19/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 19/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 16 st: NotStopd t0: [16:00:00 19/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 19/12/2009] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 19/12/2009] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 10 v2: 25 st: NotStopd t0: [16:00:00 19/12/2009] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [16:00:00 19/12/2009] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 10 v2: 26 st: NotStopd t0: [16:00:00 19/12/2009] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [16:00:00 19/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Chair st: NotStopd t0: [16:00:00 19/12/2009] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/12/2009] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 19/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:00:00 19/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 19/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 19/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 19/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 19/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 19/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 19/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 19/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 4 u1: lpm st: NotStopd t0: [16:00:00 19/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 19/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [16:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [16:00:00 19/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 19/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [16:00:00 19/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 19/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 19/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 19/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 19/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [16:00:00 19/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 19/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [16:00:00 19/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [16:00:00 19/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [16:00:00 19/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 19/12/2009] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 19/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [15:00:00 19/12/2009] tf: [22:00:00 19/12/2009] dt: 420 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: RN ai: 304 vo: 12.5 vu: ml t0: [16:00:00 19/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: RN ai: 304 vo: 12.5 vu: ml
t0: [15:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 19/12/2009] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 19/12/2009] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:30:00 19/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:30:00 19/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:30:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 155 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [16:30:00 19/12/2009] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push st: NotStopd t0: [16:30:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [16:30:00 19/12/2009] id: Untoward Effect el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 19/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 19/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [17:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 19/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Chair st: NotStopd t0: [17:00:00 19/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [17:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [17:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [17:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 19/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml t0: [17:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: RN ai: 304 vo: 12.5 vu: ml
t0: [17:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 19/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [18:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 19/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 19/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [18:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 19/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [18:00:00 19/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 19/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 16 st: NotStopd t0: [18:00:00 19/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 19/12/2009] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Dampened st: NotStopd t0: [18:00:00 19/12/2009] id: IV #2 Insert Date el: 0 cu: MICU cg: RN v1: 10 v2: 25 st: NotStopd t0: [18:00:00 19/12/2009] id: IV #2 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [18:00:00 19/12/2009] id: IV #3 Insert Date el: 0 cu: MICU cg: RN v1: 10 v2: 26 st: NotStopd t0: [18:00:00 19/12/2009] id: IV #3 Site/Size el: 0 cu: MICU cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [18:00:00 19/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 19/12/2009] id: IV Site Appear #2 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 19/12/2009] id: IV Site Appear #3 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 19/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 19/12/2009] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [18:00:00 19/12/2009] id: NBP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 19/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [18:00:00 19/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 4 u1: lpm st: NotStopd t0: [18:00:00 19/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN u1: mmHg u2: mmHg st: NotStopd t0: [18:00:00 19/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 19/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 72.3 u1: kg st: NotStopd t0: [18:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [18:00:00 19/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [18:00:00 19/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [18:00:00 19/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [18:00:00 19/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [18:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 19/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 157 rs: Manual st: NotStopd
t0: [18:00:00 19/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: RN ai: 304 vo: 12.5 vu: ml t0: [18:00:00 19/12/2009] id: Urine Out Void el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [18:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 19/12/2009] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 19/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 7-Mod to Severe st: NotStopd t0: [20:00:00 19/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 19/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 19/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 19/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 19/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 19/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [20:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [20:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 19/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 19/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 19/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 19/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 19/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 19/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [20:00:00 19/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 19/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 19/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 19/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 19/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 19/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 19/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 19/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 146 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [20:00:00 19/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: At Rest st: NotStopd t0: [20:00:00 19/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 7-Mod to Severe st: NotStopd t0: [20:00:00 19/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Right Arm st: NotStopd t0: [20:00:00 19/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push st: NotStopd t0: [20:00:00 19/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Burning st: NotStopd t0: [20:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 103 u1: mmHg st: NotStopd t0: [20:00:00 19/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [20:00:00 19/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 19/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [20:00:00 19/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 19/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 19/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [20:00:00 19/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 19/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 19/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 19/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [20:00:00 19/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 19/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [20:00:00 19/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.2 u1: Deg. F st: NotStopd t0: [20:00:00 19/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [20:00:00 19/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow st: NotStopd t0: [20:00:00 19/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [20:00:00 19/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 19/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 19/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 19/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [20:00:00 19/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [20:00:00 19/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 19/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 19/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 19/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 19/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 16 u1: number st: NotStopd t0: [20:00:00 19/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: No Impairment st: NotStopd t0: [20:30:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [20:30:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:30:00 19/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:30:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:30:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:30:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [20:30:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:30:00 19/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [20:30:00 19/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [20:30:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 160 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [20:30:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg st: NotStopd t0: [20:30:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:30:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [20:30:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [20:30:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [20:30:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 19/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 25 vu: ml t0: [20:00:00 19/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vu: ml es: Medium
t0: [20:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 19/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:30:00 19/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 19/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [21:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 19/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 155 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [21:00:00 19/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [21:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 166 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [21:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg st: NotStopd t0: [21:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [21:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [21:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [21:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 19/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [22:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 19/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 19/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [22:00:00 19/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: Bleeding st: NotStopd t0: [22:00:00 19/12/2009] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Dampened st: NotStopd t0: [22:00:00 19/12/2009] id: IV #2 D/C Date el: 0 cu: MICU cg: -1 v1: 10 v2: 26 st: NotStopd t0: [22:00:00 19/12/2009] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 25 st: NotStopd t0: [22:00:00 19/12/2009] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [22:00:00 19/12/2009] id: IV #3 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 26 st: NotStopd t0: [22:00:00 19/12/2009] id: IV #3 Site/Size el: 0 cu: MICU cg: -1 v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [22:00:00 19/12/2009] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: Infiltrated st: NotStopd t0: [22:00:00 19/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [22:00:00 19/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [22:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 179 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [22:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg st: NotStopd t0: [22:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [22:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [22:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [22:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 19/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 19/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 19/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 19/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 19/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [23:00:00 19/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 19/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 164 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [23:00:00 19/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 86.6667 u1: mmHg st: NotStopd t0: [23:00:00 19/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 206 u1: mmHg v2: 95 u2: mmHg st: NotStopd t0: [23:00:00 19/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg st: NotStopd t0: [23:00:00 19/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 19/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [23:00:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [23:00:00 19/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 88 u1: % st: NotStopd t0: [23:00:00 19/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 25 vu: ml t0: [23:00:00 19/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml
t0: [23:00:00 19/12/2009] tf: [00:00:00 20/12/2009] dt: 60 id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 19/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:30:00 19/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [23:00:00 19/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/12/2009] id: INV Line#1 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 19/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 19/12/2009] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 19/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 19/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 19/12/2009] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 19/12/2009] id: IV #2 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 19/12/2009] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 19/12/2009] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 19/12/2009] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 st: D/C'd
t0: [22:30:00 19/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [22:30:00 19/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 16 st: NotStopd t0: [22:30:00 19/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [22:30:00 19/12/2009] id: IV #3 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 26 st: NotStopd t0: [22:30:00 19/12/2009] id: IV #3 Site/Size el: 0 cu: MICU cg: -1 v1: RU Ant Forearm v2: 22 gauge st: NotStopd
t0: [23:30:00 19/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 7-Mod to Severe st: NotStopd t0: [23:30:00 19/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [23:30:00 19/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [23:30:00 19/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 154 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [23:30:00 19/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 103.333 u1: mmHg st: NotStopd t0: [23:30:00 19/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: At Rest st: NotStopd t0: [23:30:00 19/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 7-Mod to Severe st: NotStopd t0: [23:30:00 19/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Right Arm st: NotStopd t0: [23:30:00 19/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push st: NotStopd t0: [23:30:00 19/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Burning st: NotStopd t0: [23:30:00 19/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd
t0: [22:30:00 19/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 300 vu: ml
t0: [23:00:00 19/12/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 300 cv: 300 ap: none t0: [23:00:00 19/12/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 300 cv: 725 ap: carryForward t0: [23:00:00 19/12/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 300 cv: 725 ap: carryForward
t0: [00:00:00 20/12/2009] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [00:00:00 20/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 st: D/C'd t0: [00:00:00 20/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 st: D/C'd
t0: [23:00:00 19/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [23:00:00 19/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [23:00:00 19/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [23:00:00 19/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 19/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 19/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [23:00:00 19/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [23:00:00 19/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [23:00:00 19/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 20/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 6-Mod to Severe st: NotStopd t0: [00:00:00 20/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 20/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 20/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 20/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [00:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 20/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 20/12/2009] id: IV #3 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 26 st: NotStopd t0: [00:00:00 20/12/2009] id: IV #3 Site/Size el: 0 cu: MICU cg: -1 v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [00:00:00 20/12/2009] id: IV Site Appear #3 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 20/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [00:00:00 20/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 20/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 20/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 20/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [00:00:00 20/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 20/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 20/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: At Rest st: NotStopd t0: [00:00:00 20/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 6-Mod to Severe st: NotStopd t0: [00:00:00 20/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 20/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push st: NotStopd t0: [00:00:00 20/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Constant st: NotStopd t0: [00:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 20/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [00:00:00 20/12/2009] id: Procedures el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 20/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 20/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 20/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [00:00:00 20/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 20/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [00:00:00 20/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [00:00:00 20/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 20/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [00:00:00 20/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 20/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 20/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd
t0: [22:00:00 19/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml st: Stopped t0: [00:00:00 20/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml st: Stopped
t0: [00:00:00 20/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [00:00:00 20/12/2009] id: Heparin el: 1 cu: MICU so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [00:00:00 20/12/2009] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd
tf: [09:00:00 20/12/2009] pt: IV Piggyback rt: IV fr: INFUSION m1: Amiodarone HCl f1: INJ v1: 600 u1: mg m2: D5W (EXCEL BAG) f2: INJ v2: 250 u2: ml
t0: [01:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [01:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 154 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [01:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [01:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 20/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [01:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [01:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [01:00:00 20/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [01:00:00 20/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [01:00:00 20/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [01:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:45:00 20/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT v1: ALB/ATR st: NotStopd
t0: [02:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [02:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [02:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 20/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [02:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [02:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [02:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [03:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 149 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [03:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 87.6667 u1: mmHg st: NotStopd t0: [03:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 20/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [03:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [03:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [03:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 20/12/2009] tf: [17:39:00 31/12/2009] dt: 16719 id: IV #3 D/C Date el: 0 cu: MICU cg: -1 v1: 10 v2: 27 st: NotStopd t0: [03:00:00 20/12/2009] id: IV #3 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 26 st: NotStopd t0: [03:00:00 20/12/2009] tf: [08:00:00 22/12/2009] dt: 3180 id: IV #4 Insert Date el: 0 cu: MICU cg: -1 v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [03:00:00 20/12/2009] tf: [08:00:00 22/12/2009] dt: 3180 id: IV #4 Site/Size el: 0 cu: MICU cg: -1 v1: 10 v2: 27 st: NotStopd t0: [03:00:00 20/12/2009] id: IV #4 Site/Size el: 0 cu: MICU cg: -1 v1: Left Wrist v2: 22 gauge st: NotStopd t0: [03:00:00 20/12/2009] tf: [08:00:00 22/12/2009] dt: 3180 id: IV Site Appear #4 el: 0 cu: MICU cg: -1 v1: Infiltrated st: NotStopd t0: [03:00:00 20/12/2009] id: IV Site Appear #4 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd
t0: [02:00:00 20/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vu: ml st: Restart
t0: [03:15:00 20/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 25.3 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 33.2 u1: % rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 653 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.47 u1: /mic l rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 25.3 rs: Final st: NotStopd
t0: [03:15:00 20/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 99 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 152 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [03:15:00 20/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd
t0: [20:00:00 19/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [01:00:00 20/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [01:00:00 20/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [01:00:00 20/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [01:00:00 20/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [01:00:00 20/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 20/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [01:00:00 20/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [01:00:00 20/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 20/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 20/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 20/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 20/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 20/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [04:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 20/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 20/12/2009] id: IV #4 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 27 st: NotStopd t0: [04:00:00 20/12/2009] id: IV #4 Site/Size el: 0 cu: MICU cg: -1 v1: Left Wrist v2: 22 gauge st: NotStopd t0: [04:00:00 20/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 20/12/2009] id: IV Site Appear #4 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 20/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 20/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 20/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 20/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 20/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 20/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 20/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 20/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 20/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 138 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [04:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 76.6667 u1: mmHg st: NotStopd t0: [04:00:00 20/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 20/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 20/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 20/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 20/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 20/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 20/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 20/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [04:00:00 20/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 20/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 20/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [04:00:00 20/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 20/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [04:00:00 20/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [04:00:00 20/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 20/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 20/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [04:00:00 20/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 20/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 20/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 20/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd
t0: [02:00:00 20/12/2009] tf: [17:39:00 31/12/2009] dt: 16779 id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 20/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 20/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [05:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 147 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [05:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 79.6667 u1: mmHg st: NotStopd t0: [05:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 20/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 72.3 u1: kg st: NotStopd t0: [05:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [05:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [05:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 20/12/2009] tf: [08:00:00 24/12/2009] dt: 6120 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml nb: 1 t0: [03:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [03:00:00 20/12/2009] tf: [14:01:00 20/12/2009] dt: 661 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [03:00:00 20/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 250 vu: ml t0: [04:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [04:00:00 20/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [05:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [05:00:00 20/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml
t0: [05:00:00 20/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline el: 1 cu: MICU cg: -1 io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [03:15:00 20/12/2009] id: Vancomycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 25.4 rs: Final st: NotStopd
t0: [03:15:00 20/12/2009] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 12 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 55 rs: Final st: NotStopd
t0: [06:00:00 20/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 159 rs: Manual st: NotStopd
t0: [05:00:00 20/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [05:00:00 20/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36 u1: Deg. C st: NotStopd t0: [05:00:00 20/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 96.8 u1: Deg. F st: NotStopd t0: [06:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [06:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 149 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [06:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 78.3333 u1: mmHg st: NotStopd t0: [06:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [06:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [06:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 20/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 200 vu: ml t0: [06:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [06:00:00 20/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 12.5 vu: ml
t0: [06:00:00 20/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 20/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 7-Mod to Severe st: NotStopd t0: [07:00:00 20/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 20/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [07:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [07:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 149 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [07:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 84.3333 u1: mmHg st: NotStopd t0: [07:00:00 20/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: At Rest st: NotStopd t0: [07:00:00 20/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 7-Mod to Severe st: NotStopd t0: [07:00:00 20/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [07:00:00 20/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push st: NotStopd t0: [07:00:00 20/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Constant st: NotStopd t0: [07:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [07:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 20/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [08:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 149 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 82.3333 u1: mmHg st: NotStopd t0: [08:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [08:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 20/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 20/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 35.5556 u1: Deg. C st: NotStopd t0: [08:00:00 20/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 96 u1: Deg. F st: NotStopd t0: [08:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 20/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 25 vu: ml t0: [08:00:00 20/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [08:00:00 20/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
id: Po Intake el: 1 cu: MICU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
t0: [08:00:00 20/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 20/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 20/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 20/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [08:00:00 20/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 20/12/2009] id: IV #4 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 27 st: NotStopd t0: [08:00:00 20/12/2009] id: IV #4 Site/Size el: 0 cu: MICU cg: -1 v1: Left Wrist v2: 22 gauge st: NotStopd t0: [08:00:00 20/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 20/12/2009] id: IV Site Appear #4 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 20/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 20/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 20/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 20/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 20/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 20/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 20/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 20/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 20/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 20/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 20/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 20/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 20/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 20/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 20/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:00:00 20/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 20/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 20/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 20/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 20/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 20/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [08:00:00 20/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Turns by self st: NotStopd t0: [08:00:00 20/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 20/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [08:00:00 20/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 20/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 20/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd
t0: [08:00:00 20/12/2009] tf: [17:39:00 31/12/2009] dt: 16419 id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 168 vo: 30 vu: ml
t0: [09:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [09:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 140 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [09:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [09:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [09:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 91 u1: % st: NotStopd t0: [09:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 20/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: SC fr: Q12H fs: 10, 22 dn: 2 m1: Enoxaparin Sodium f1: SYR v1: 60 u1: mg
t0: [08:00:00 20/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 9-Severe-Worst st: NotStopd t0: [08:00:00 20/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [08:00:00 20/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 20/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 20/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: At Rest st: NotStopd t0: [08:00:00 20/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 9-Severe-Worst st: NotStopd t0: [08:00:00 20/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 20/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push st: NotStopd t0: [08:00:00 20/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Aching st: NotStopd t0: [09:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [10:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [10:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 92 u1: % st: NotStopd t0: [10:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [11:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 156 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [11:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 93.3333 u1: mmHg st: NotStopd t0: [11:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [11:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 20/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 20/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [12:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 78.3333 u1: mmHg st: NotStopd t0: [12:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [12:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 20/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 20/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.2778 u1: Deg. C st: NotStopd t0: [12:00:00 20/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.3 u1: Deg. F st: NotStopd t0: [12:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 20/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 144 rs: Manual st: NotStopd
t0: [12:00:00 20/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 20/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [12:00:00 20/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 20/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 20/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 20/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 20/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 20/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 20/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [13:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [13:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 146 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [13:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [13:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [13:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [14:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 0 u1: mmHg u2: mmHg st: NotStopd t0: [14:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [14:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [14:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 20/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 25 vu: ml t0: [11:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 20/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 25 vu: ml t0: [13:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [13:00:00 20/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 20/12/2009] id: Amiodarone el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 20/12/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: -1 cv: 200 ap: carryForward
t0: [14:01:00 20/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU cg: -1 ai: 304 vo: 0 st: D/C'd
t0: [03:15:00 20/12/2009] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 85 rs: Final st: NotStopd t0: [03:15:00 20/12/2009] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: Q24H fs: 18 dn: 1 m1: Levofloxacin f1: TAB v1: 500 u1: mg
t0: [14:00:00 20/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [14:00:00 20/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [14:00:00 20/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [15:00:00 20/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 7-Mod to Severe st: NotStopd t0: [15:00:00 20/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 5-Moderate st: NotStopd t0: [15:00:00 20/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 20/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 20/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: At Rest st: NotStopd t0: [15:00:00 20/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 7-Mod to Severe st: NotStopd t0: [15:00:00 20/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [15:00:00 20/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push st: NotStopd t0: [15:00:00 20/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Aching st: NotStopd t0: [15:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [16:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 156 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [16:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [16:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [16:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [16:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:00:00 20/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 6-Mod to Severe st: NotStopd t0: [17:00:00 20/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [17:00:00 20/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [17:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 151 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 79.6667 u1: mmHg st: NotStopd t0: [17:00:00 20/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: At Rest st: NotStopd t0: [17:00:00 20/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 6-Mod to Severe st: NotStopd t0: [17:00:00 20/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [17:00:00 20/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push st: NotStopd t0: [17:00:00 20/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Aching st: NotStopd t0: [17:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [17:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [17:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [18:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 134 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [18:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 89.3333 u1: mmHg st: NotStopd t0: [18:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [18:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [18:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 20/12/2009] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 168 vo: 60 vu: ml t0: [17:00:00 20/12/2009] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 168 vo: 240 vu: ml
t0: [18:00:00 20/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [18:00:00 20/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [18:00:00 20/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.2 u1: Deg. F st: NotStopd
t0: [12:00:00 20/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 20/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 20/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 20/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 20/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 20/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [12:00:00 20/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Turns by self st: NotStopd t0: [14:00:00 20/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [14:00:00 20/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [14:00:00 20/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [14:00:00 20/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 20/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [14:00:00 20/12/2009] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [14:00:00 20/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [14:00:00 20/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [17:00:00 20/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 20/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 20/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 20/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [17:00:00 20/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [17:00:00 20/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 20/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [17:00:00 20/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [17:00:00 20/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [17:00:00 20/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [17:00:00 20/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [17:00:00 20/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Turns by self st: NotStopd t0: [17:00:00 20/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [17:00:00 20/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [18:00:00 20/12/2009] id: IV #4 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 27 st: NotStopd t0: [18:00:00 20/12/2009] id: IV #4 Site/Size el: 0 cu: MICU cg: -1 v1: Left Wrist v2: 22 gauge st: NotStopd t0: [18:00:00 20/12/2009] id: IV Site Appear #4 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [18:00:00 20/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 147 rs: Manual st: NotStopd
t0: [12:00:00 20/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 150 vu: ml t0: [15:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 20/12/2009] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 168 vo: 30 vu: ml t0: [18:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 20/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 300 vu: ml
t0: [18:00:00 20/12/2009] id: Vancomycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 11.9 rs: Final st: NotStopd
t0: [19:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [19:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 77.6667 u1: mmHg st: NotStopd t0: [19:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [19:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [19:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 20/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 6-Mod to Severe st: NotStopd t0: [20:00:00 20/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [20:00:00 20/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 20/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [20:00:00 20/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 20/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 20/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 20/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [20:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 20/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 20/12/2009] id: IV #4 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 27 st: NotStopd t0: [20:00:00 20/12/2009] id: IV #4 Site/Size el: 0 cu: MICU cg: -1 v1: Left Wrist v2: 22 gauge st: NotStopd t0: [20:00:00 20/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 20/12/2009] id: IV Site Appear #4 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 20/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 20/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 20/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [20:00:00 20/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 20/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 20/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 20/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 20/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [20:00:00 20/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [20:00:00 20/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 20/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 20/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 20/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 20/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: At Rest st: NotStopd t0: [20:00:00 20/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 6-Mod to Severe st: NotStopd t0: [20:00:00 20/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push v2: Backrub st: NotStopd t0: [20:00:00 20/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Aching st: NotStopd t0: [20:00:00 20/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [20:00:00 20/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 20/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 20/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 20/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 20/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [20:00:00 20/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 20/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 20/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [20:00:00 20/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [20:00:00 20/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 20/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [20:00:00 20/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.2 u1: Deg. F st: NotStopd t0: [20:00:00 20/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [20:00:00 20/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [20:00:00 20/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [20:00:00 20/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 20/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 20/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Appropriate st: NotStopd t0: [20:00:00 20/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [20:00:00 20/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 20/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 20/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 20/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 20/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [21:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [21:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 140 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [21:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 77.3333 u1: mmHg st: NotStopd t0: [21:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [21:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 20/12/2009] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 168 vo: 30 vu: ml t0: [20:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 20/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 200 vu: ml t0: [21:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [23:00:00 20/12/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 cv: 0 ap: none t0: [23:00:00 20/12/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: 10 cv: 10 ap: none t0: [23:00:00 20/12/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 10 cv: 902.5 ap: none t0: [23:00:00 20/12/2009] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 10 cv: 1292.5 ap: none t0: [23:00:00 20/12/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 390 ap: none t0: [23:00:00 20/12/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 cv: 1200 ap: none t0: [23:00:00 20/12/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: 10 cv: -107.5 ap: carryForward t0: [23:00:00 20/12/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 cv: 1400 ap: carryForward t0: [23:00:00 20/12/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: 10 cv: 2116 ap: carryForward
tf: [08:00:00 23/12/2009] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metronidazole f1: TAB v1: 500 u1: mg
t0: [20:00:00 20/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 20/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [22:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 20/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [22:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 20/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 20/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 156 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [22:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [22:00:00 20/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 20/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [22:00:00 20/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [22:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [22:00:00 20/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [22:00:00 20/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [22:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 20/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [23:00:00 20/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 20/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 20/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 20/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 20/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [23:00:00 20/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 20/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 20/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 81.3333 u1: mmHg st: NotStopd t0: [23:00:00 20/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 20/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [23:00:00 20/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 20/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 21/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 6-Mod to Severe st: NotStopd t0: [00:00:00 21/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [00:00:00 21/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 21/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [00:00:00 21/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 21/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 21/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 21/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 21/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 21/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [00:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [00:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 21/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 21/12/2009] id: IV #4 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 27 st: NotStopd t0: [00:00:00 21/12/2009] id: IV #4 Site/Size el: 0 cu: MICU cg: -1 v1: Left Wrist v2: 22 gauge st: NotStopd t0: [00:00:00 21/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 21/12/2009] id: IV Site Appear #4 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 21/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 21/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 21/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 21/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 21/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [00:00:00 21/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 21/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 21/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 21/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 134 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [00:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 72.6667 u1: mmHg st: NotStopd t0: [00:00:00 21/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [00:00:00 21/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [00:00:00 21/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 21/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 21/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 21/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 21/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: At Rest st: NotStopd t0: [00:00:00 21/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 6-Mod to Severe st: NotStopd t0: [00:00:00 21/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 21/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push v2: Backrub st: NotStopd t0: [00:00:00 21/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Aching st: NotStopd t0: [00:00:00 21/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 21/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 21/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 21/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 21/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [00:00:00 21/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 21/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 21/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [00:00:00 21/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [00:00:00 21/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 21/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.3889 u1: Deg. C st: NotStopd t0: [00:00:00 21/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.5 u1: Deg. F st: NotStopd t0: [00:00:00 21/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 21/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [00:00:00 21/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [00:00:00 21/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 21/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 21/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Appropriate st: NotStopd t0: [00:00:00 21/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 123 rs: Manual st: NotStopd t0: [00:00:00 21/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [01:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [01:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 141 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [01:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [01:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [01:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 20/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [00:00:00 21/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 21/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [02:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 21/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [02:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 21/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 21/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 137 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 78.3333 u1: mmHg st: NotStopd t0: [02:00:00 21/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 21/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [02:00:00 21/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [02:00:00 21/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [02:00:00 21/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [02:00:00 21/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [02:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 21/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Appropriate st: NotStopd t0: [03:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [03:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 148 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [03:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 77.3333 u1: mmHg st: NotStopd t0: [03:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [03:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [03:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 20/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 250 vu: ml t0: [02:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 21/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 350 vu: ml t0: [03:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [23:00:00 21/12/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: -1 cv: 0 ap: carryForward
t0: [00:00:00 21/12/2009] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 21/12/2009] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [00:00:00 21/12/2009] id: Stool Management el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 21/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 6-Mod to Severe st: NotStopd t0: [04:00:00 21/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [04:00:00 21/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 21/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [04:00:00 21/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 21/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 21/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 21/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 21/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [04:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [04:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 21/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 21/12/2009] id: IV #4 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 27 st: NotStopd t0: [04:00:00 21/12/2009] id: IV #4 Site/Size el: 0 cu: MICU cg: -1 v1: Left Wrist v2: 22 gauge st: NotStopd t0: [04:00:00 21/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 21/12/2009] id: IV Site Appear #4 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 21/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 21/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 21/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 21/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 21/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 21/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 21/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 145 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 78.3333 u1: mmHg st: NotStopd t0: [04:00:00 21/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [04:00:00 21/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [04:00:00 21/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 21/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 21/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 21/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 21/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: At Rest st: NotStopd t0: [04:00:00 21/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 6-Mod to Severe st: NotStopd t0: [04:00:00 21/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 21/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push v2: Repositioned st: NotStopd t0: [04:00:00 21/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Aching st: NotStopd t0: [04:00:00 21/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 21/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 21/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 21/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 21/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 21/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [04:00:00 21/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 21/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 21/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [04:00:00 21/12/2009] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 21/12/2009] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [04:00:00 21/12/2009] id: Stool Management el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 21/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [04:00:00 21/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 21/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [04:00:00 21/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [04:00:00 21/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 21/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [04:00:00 21/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [04:00:00 21/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 21/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 21/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [04:00:00 21/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 250 vu: ml
t0: [05:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [05:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [05:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 99.3333 u1: mmHg st: NotStopd t0: [05:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [05:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 21/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 6-Mod to Severe st: NotStopd t0: [06:00:00 21/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [06:00:00 21/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 21/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [06:00:00 21/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 21/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [06:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 21/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [06:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 21/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 21/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 137 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 78.3333 u1: mmHg st: NotStopd t0: [06:00:00 21/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 21/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 21/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: At Rest st: NotStopd t0: [06:00:00 21/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 6-Mod to Severe st: NotStopd t0: [06:00:00 21/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [06:00:00 21/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push v2: Backrub st: NotStopd t0: [06:00:00 21/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Aching st: NotStopd t0: [06:00:00 21/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [06:00:00 21/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [06:00:00 21/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [06:00:00 21/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [06:00:00 21/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [06:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 21/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [06:00:00 21/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 173 rs: Manual st: NotStopd
t0: [05:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 21/12/2009] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 168 vo: 30 vu: ml t0: [06:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [23:00:00 21/12/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 30 ap: none
t0: [07:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [07:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [07:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 67.3333 u1: mmHg st: NotStopd t0: [07:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [07:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [08:00:00 21/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [08:00:00 21/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 21/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [08:00:00 21/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 21/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 21/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 21/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 21/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [08:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 21/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 21/12/2009] id: IV #4 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 27 st: NotStopd t0: [08:00:00 21/12/2009] id: IV #4 Site/Size el: 0 cu: MICU cg: -1 v1: Left Wrist v2: 22 gauge st: NotStopd t0: [08:00:00 21/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 21/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 21/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 21/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: None v2: Intact st: NotStopd t0: [08:00:00 21/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 21/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 21/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 21/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 21/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [08:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [08:00:00 21/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 21/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 21/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 21/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 21/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 st: NotStopd t0: [08:00:00 21/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: Heat Pack st: NotStopd t0: [08:00:00 21/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 21/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 21/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 21/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 21/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 21/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [08:00:00 21/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [08:00:00 21/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 21/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 21/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 21/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 21/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [08:00:00 21/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 21/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 21/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 21/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 21/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [08:00:00 21/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 21/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 200 vu: ml
tf: [11:00:00 23/12/2009] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Amiodarone HCl f1: TAB v1: 200 u1: mg
t0: [08:00:00 21/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 21/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 21/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [09:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [09:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 21/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Chair st: NotStopd t0: [09:00:00 21/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 140 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 78.6667 u1: mmHg st: NotStopd t0: [09:00:00 21/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [09:00:00 21/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [09:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [09:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [10:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 21/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Chair st: NotStopd t0: [10:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 138 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 77.3333 u1: mmHg st: NotStopd t0: [10:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [10:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 21/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: -1 v1: alb st: NotStopd t0: [11:00:00 21/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [11:00:00 21/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [11:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [11:00:00 21/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Green v2: Thick st: NotStopd t0: [11:00:00 21/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Other/Remarks st: NotStopd
t0: [14:15:00 21/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd t0: [14:15:00 21/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [14:15:00 21/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [14:15:00 21/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [14:15:00 21/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 135 rs: Final st: NotStopd t0: [14:15:00 21/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [14:15:00 21/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [14:15:00 21/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [15:16:00 21/12/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [15:16:00 21/12/2009] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.1 rs: Final st: NotStopd t0: [15:16:00 21/12/2009] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 30.3 rs: Final st: NotStopd
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 19 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [11:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [11:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [11:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [11:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [11:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 21/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 21/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [12:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 21/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 21/12/2009] id: IV #4 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 27 st: NotStopd t0: [12:00:00 21/12/2009] id: IV #4 Site/Size el: 0 cu: MICU cg: -1 v1: Left Wrist v2: 22 gauge st: NotStopd t0: [12:00:00 21/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 21/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [12:00:00 21/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 21/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 21/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 21/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [12:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [12:00:00 21/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 21/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 21/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 21/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 21/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 21/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 21/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 21/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [12:00:00 21/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [12:00:00 21/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 21/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 21/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.8 u1: Deg. F st: NotStopd t0: [12:00:00 21/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [12:00:00 21/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 21/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [13:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [13:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [13:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [13:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 21/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 175 vu: ml t0: [12:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [14:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [14:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [14:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 98.6667 u1: mmHg st: NotStopd t0: [14:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [14:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [15:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 146 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [15:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [15:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [15:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [15:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [16:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 21/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 21/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 21/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 21/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 138 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [16:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 96.6667 u1: mmHg st: NotStopd t0: [16:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [16:00:00 21/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 21/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [16:00:00 21/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [16:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [17:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 u1: BPM st: NotStopd t0: [19:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: MSICU st: NotStopd t0: [19:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [19:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [19:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [19:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [19:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [19:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 21/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 175 vu: ml t0: [17:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 21/12/2009] tf: [06:00:00 26/12/2009] dt: 6480 id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: -1 vo: 100 vu: ml t0: [18:00:00 21/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 200 vu: ml
t0: [20:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: MSICU st: NotStopd t0: [20:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [20:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [20:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [20:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [20:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [20:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 21/12/2009] id: Procedures el: 0 cu: MICU cg: -1 v1: Chest Tube In st: NotStopd t0: [20:00:00 21/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 8-Severe st: NotStopd t0: [20:00:00 21/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 21/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 21/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 21/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 21/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 21/12/2009] id: Family Communication el: 0 cu: MICU cg: -1 v1: Fam Talked to RN st: NotStopd t0: [20:00:00 21/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 21/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 21/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 21/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [20:00:00 21/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 21/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 21/12/2009] tf: [08:00:00 22/12/2009] dt: 720 id: IV #4 D/C Date el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [20:00:00 21/12/2009] id: IV #4 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 27 st: NotStopd t0: [20:00:00 21/12/2009] id: IV #4 Site/Size el: 0 cu: MICU cg: -1 v1: Left Wrist v2: 22 gauge st: NotStopd t0: [20:00:00 21/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 21/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [20:00:00 21/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 21/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 21/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [20:00:00 21/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 21/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 21/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 21/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 21/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [20:00:00 21/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 4 u1: lpm st: NotStopd t0: [20:00:00 21/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 21/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 21/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 21/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 21/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Incisional st: NotStopd t0: [20:00:00 21/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 8-Severe st: NotStopd t0: [20:00:00 21/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [20:00:00 21/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Constant st: NotStopd t0: [20:00:00 21/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 21/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 21/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [20:00:00 21/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 21/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 21/12/2009] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: XRAY st: NotStopd t0: [20:00:00 21/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 21/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 21/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 21/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 21/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [20:00:00 21/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 21/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [20:00:00 21/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [20:00:00 21/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [20:00:00 21/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [20:00:00 21/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [20:00:00 21/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 21/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 21/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [21:00:00 21/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 8-Severe st: NotStopd t0: [21:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: MSICU st: NotStopd t0: [21:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [21:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 138 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [21:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 94.6667 u1: mmHg st: NotStopd t0: [21:00:00 21/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 8-Severe st: NotStopd t0: [21:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [21:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [21:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 21/12/2009] tf: [17:39:00 31/12/2009] dt: 14139 id: bath el: 0 cu: MICU cg: -1 v1: done t0: [22:00:00 21/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 21/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 21/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [20:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [20:00:00 21/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 150 vu: ml t0: [22:00:00 21/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: -1 vo: 35 vu: ml
t0: [23:00:00 21/12/2009] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU cg: -1 cv: 135 ap: none
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 22 dn: 1 m1: Ketorolac f1: INJ v1: 30 u1: mg
t0: [21:00:00 21/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [21:00:00 21/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 21/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push v2: Repositioned st: NotStopd t0: [22:00:00 21/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [22:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: MSICU st: NotStopd t0: [22:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 21/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [22:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 21/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [22:00:00 21/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [22:00:00 21/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [22:00:00 21/12/2009] id: IV #4 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 27 st: NotStopd t0: [22:00:00 21/12/2009] id: IV #4 Site/Size el: 0 cu: MICU cg: -1 v1: Left Wrist v2: 22 gauge st: NotStopd t0: [22:00:00 21/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 21/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [22:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71.3333 u1: mmHg st: NotStopd t0: [22:00:00 21/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [22:00:00 21/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [22:00:00 21/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 21/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [22:00:00 21/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 21/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [22:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [22:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [22:00:00 21/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [22:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 21/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [23:00:00 21/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 21/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: MSICU st: NotStopd t0: [23:00:00 21/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 21/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [23:00:00 21/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:00:00 21/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 21/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 21/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [23:00:00 21/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [23:00:00 21/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [23:00:00 21/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 21/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [23:00:00 21/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [23:00:00 21/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 21/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [23:00:00 21/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [23:00:00 21/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [23:00:00 21/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [23:00:00 21/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 21/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 107 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [23:00:00 21/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 70.3333 u1: mmHg st: NotStopd t0: [23:00:00 21/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [23:00:00 21/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [23:00:00 21/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 21/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [23:00:00 21/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Incisional st: NotStopd t0: [23:00:00 21/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [23:00:00 21/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [23:00:00 21/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Constant st: NotStopd t0: [23:00:00 21/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:00:00 21/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 21/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [23:00:00 21/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [23:00:00 21/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [23:00:00 21/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [23:00:00 21/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [23:00:00 21/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [23:00:00 21/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [23:00:00 21/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [23:00:00 21/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [23:00:00 21/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [23:00:00 21/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 21/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [23:00:00 21/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [00:00:00 22/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 22/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 22/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [00:00:00 22/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 22/12/2009] id: IV #4 Insert Date el: 0 cu: MICU cg: -1 v1: 10 v2: 27 st: NotStopd t0: [00:00:00 22/12/2009] id: IV #4 Site/Size el: 0 cu: MICU cg: -1 v1: Left Wrist v2: 22 gauge st: NotStopd t0: [00:00:00 22/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 22/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 22/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 22/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 22/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 22/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [00:00:00 22/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 22/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [00:00:00 22/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [21:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 21/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 21/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 200 vu: ml t0: [00:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [23:00:00 21/12/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 200 cv: 200 ap: none t0: [23:00:00 21/12/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -190 cv: -190 ap: none t0: [23:00:00 21/12/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 10 cv: 680 ap: none t0: [23:00:00 21/12/2009] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 10 cv: 710 ap: none t0: [23:00:00 21/12/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 200 cv: 1700 ap: none t0: [23:00:00 21/12/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -190 cv: -1125 ap: carryForward t0: [23:00:00 21/12/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 200 cv: 1835 ap: carryForward t0: [23:00:00 21/12/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -190 cv: 751 ap: carryForward t0: [23:00:00 22/12/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: 10 cv: 10 ap: none t0: [23:00:00 22/12/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 10 cv: 690 ap: none t0: [23:00:00 22/12/2009] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 10 cv: 1050 ap: none t0: [23:00:00 22/12/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: 10 cv: 176 ap: carryForward t0: [23:00:00 22/12/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: 10 cv: 927 ap: carryForward
tf: [15:00:00 01/01/2010] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen f1: TAB v1: 325-650 u1: mg tf: [15:00:00 01/01/2010] pt: Unit Dose rt: PO fr: Q8H:PRN m1: Ibuprofen f1: TAB v1: 600 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 1 dn: 1 m1: Ketorolac f1: INJ v1: 15 u1: mg
t0: [00:00:00 22/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [00:00:00 22/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 22/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [00:00:00 22/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: MSICU st: NotStopd t0: [00:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 22/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [00:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 68.6667 u1: mmHg st: NotStopd t0: [00:00:00 22/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Incisional st: NotStopd t0: [00:00:00 22/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [00:00:00 22/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [00:00:00 22/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: Repositioned st: NotStopd t0: [00:00:00 22/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Constant st: NotStopd t0: [00:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [00:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [00:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: MSICU st: NotStopd t0: [01:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [01:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [01:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 60.6667 u1: mmHg st: NotStopd t0: [01:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [01:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [01:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [23:00:00 21/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [23:00:00 21/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [23:00:00 21/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [23:00:00 21/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [23:00:00 21/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [23:00:00 21/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [23:00:00 21/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 16 u1: number st: NotStopd t0: [23:00:00 21/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: No Impairment st: NotStopd t0: [00:00:00 22/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 22/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [00:00:00 22/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [02:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: MSICU st: NotStopd t0: [02:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [02:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [02:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 58.6667 u1: mmHg st: NotStopd t0: [02:00:00 22/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [02:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [02:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: MSICU st: NotStopd t0: [03:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [03:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [03:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [03:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [03:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [03:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: MSICU st: NotStopd t0: [04:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 22/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 22/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 22/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 22/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 22/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [04:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 22/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 22/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [04:00:00 22/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 22/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 22/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 22/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 22/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 22/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 22/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 22/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 22/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 22/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 22/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 22/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 22/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [04:00:00 22/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [04:00:00 22/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 22/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 22/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 22/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 22/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 22/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 22/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [04:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 22/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 22/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 22/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [04:00:00 22/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 22/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 22/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 22/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 22/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.6111 u1: Deg. C st: NotStopd t0: [04:00:00 22/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.9 u1: Deg. F st: NotStopd t0: [04:00:00 22/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 22/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [04:00:00 22/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [04:00:00 22/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 22/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 22/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [04:00:00 22/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 22/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 22/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [04:00:00 22/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [04:00:00 22/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [04:00:00 22/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [04:00:00 22/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [02:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 22/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 300 vu: ml
t0: [03:40:00 22/12/2009] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.1 u1: % rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 700 rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.34 u1: /mic l rs: Final st: NotStopd
t0: [03:40:00 22/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [03:40:00 22/12/2009] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 14 rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 77 rs: Final st: NotStopd
t0: [03:40:00 22/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 24.7 rs: Final st: NotStopd t0: [03:40:00 22/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 24.7 rs: Final st: NotStopd
t0: [04:00:00 22/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [04:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [04:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [04:00:00 22/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [04:00:00 22/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Serous st: NotStopd t0: [04:00:00 22/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [04:00:00 22/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [04:00:00 22/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd t0: [05:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: MSICU st: NotStopd t0: [05:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [05:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [05:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [05:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [05:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [05:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: MSICU st: NotStopd t0: [06:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [06:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [06:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 63.6667 u1: mmHg st: NotStopd t0: [06:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [06:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [06:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 22/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: -1 vo: 36 vu: ml t0: [06:00:00 22/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [23:00:00 21/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Not Done st: NotStopd t0: [23:00:00 21/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 21/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 21/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Clear v2: Thick st: NotStopd t0: [23:00:00 21/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Scant st: NotStopd t0: [04:00:00 22/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Not Done st: NotStopd t0: [04:00:00 22/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 22/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 22/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Clear v2: Thick st: NotStopd t0: [04:00:00 22/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Moderate st: NotStopd t0: [06:00:00 22/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 22/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 22/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 22/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 22/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 22/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [06:00:00 22/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [06:00:00 22/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd
t0: [08:00:00 22/12/2009] id: IV #4 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 22/12/2009] id: IV #4 Insert Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 22/12/2009] id: IV #4 Site/Size el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 22/12/2009] id: IV Site Appear #4 el: 0 cu: MICU cg: -1 st: D/C'd
t0: [08:00:00 22/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 5-Moderate st: NotStopd t0: [08:00:00 22/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: MSICU st: NotStopd t0: [08:00:00 22/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [08:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 22/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 22/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 22/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 22/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 22/12/2009] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [08:00:00 22/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 22/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [08:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [08:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 22/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 22/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [08:00:00 22/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 22/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 22/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 22/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 22/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 22/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 22/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 22/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 22/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 22/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 22/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 22/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 22/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [08:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 72.3333 u1: mmHg st: NotStopd t0: [08:00:00 22/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [08:00:00 22/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [08:00:00 22/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 22/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 22/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 22/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Incisional st: NotStopd t0: [08:00:00 22/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 5-Moderate st: NotStopd t0: [08:00:00 22/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Incisional st: NotStopd t0: [08:00:00 22/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: PO Med st: NotStopd t0: [08:00:00 22/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Intermittent st: NotStopd t0: [08:00:00 22/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 22/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 22/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 22/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 22/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 22/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:00:00 22/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 22/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 22/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [08:00:00 22/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [08:00:00 22/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 22/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 22/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [08:00:00 22/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [08:00:00 22/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 22/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 22/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 22/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 22/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 22/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 22/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 22/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 22/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 22/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 22/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [08:00:00 22/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [08:00:00 22/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 22/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [08:00:00 22/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [08:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml
t0: [09:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: MSICU st: NotStopd t0: [09:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [09:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [09:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 61.6667 u1: mmHg st: NotStopd t0: [09:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [09:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [09:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [07:30:00 22/12/2009] id: Vancomycin/Trough Drug Level el: 0 cu: MICU cg: 1663 v1: 18.6 rs: Final st: NotStopd
t0: [10:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: MSICU st: NotStopd t0: [10:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [10:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 22/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Chair st: NotStopd t0: [10:00:00 22/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [10:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [10:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [10:00:00 22/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 22/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [10:00:00 22/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [10:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [10:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [10:00:00 22/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [11:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 22/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [11:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [11:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 22/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 22/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [11:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [11:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [11:00:00 22/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 22/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [11:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [11:00:00 22/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [11:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [10:00:00 22/12/2009] id: Vancomycin/Peak Drug Level el: 0 cu: MICU cg: 1663 v1: 36.8 rs: Final st: NotStopd
t0: [12:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [12:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 72.3333 u1: mmHg st: NotStopd t0: [12:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 22/12/2009] id: Procedures el: 0 cu: MICU cg: -1 v1: Cardiac Echo st: NotStopd t0: [12:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [12:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [10:00:00 22/12/2009] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Soft st: NotStopd t0: [10:00:00 22/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [10:00:00 22/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [12:00:00 22/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [12:00:00 22/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 22/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 22/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 22/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 22/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [12:00:00 22/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 22/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 22/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 22/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 22/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 22/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 22/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 22/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 22/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 22/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 22/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 22/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 22/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [12:00:00 22/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 22/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 35.5556 u1: Deg. C st: NotStopd t0: [12:00:00 22/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 96 u1: Deg. F st: NotStopd t0: [12:00:00 22/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [12:00:00 22/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 22/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 22/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 130 rs: Manual st: NotStopd t0: [12:00:00 22/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [12:00:00 22/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [12:00:00 22/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [12:00:00 22/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [12:00:00 22/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [12:00:00 22/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [11:00:00 22/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [13:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 22/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [13:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [13:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 22/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 22/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [13:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [13:00:00 22/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 22/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [13:00:00 22/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [13:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [13:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [13:00:00 22/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [13:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [12:00:00 22/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 5-Moderate st: NotStopd t0: [12:00:00 22/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 22/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 22/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Incisional st: NotStopd t0: [12:00:00 22/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 5-Moderate st: NotStopd t0: [12:00:00 22/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Incisional st: NotStopd t0: [12:00:00 22/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push st: NotStopd t0: [12:00:00 22/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Intermittent st: NotStopd t0: [14:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [14:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71.3333 u1: mmHg st: NotStopd t0: [14:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [14:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [12:00:00 22/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 22/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [12:00:00 22/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 22/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [12:00:00 22/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd
t0: [14:00:00 22/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [15:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [15:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [15:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [15:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [15:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [15:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [14:00:00 22/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Chair st: NotStopd t0: [16:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 22/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [16:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 22/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 22/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 22/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [16:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 22/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 22/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [16:00:00 22/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 22/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 22/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Chair st: NotStopd t0: [16:00:00 22/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 22/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 22/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 22/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 22/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 22/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 22/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 22/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 108 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [16:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 62.6667 u1: mmHg st: NotStopd t0: [16:00:00 22/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [16:00:00 22/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [16:00:00 22/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 22/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 22/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 22/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 22/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 22/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:00:00 22/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 22/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:00:00 22/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [16:00:00 22/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [16:00:00 22/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [16:00:00 22/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 22/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [16:00:00 22/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [16:00:00 22/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [16:00:00 22/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [16:00:00 22/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [16:00:00 22/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [16:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [17:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [17:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [17:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 75.3333 u1: mmHg st: NotStopd t0: [17:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 22/12/2009] id: Procedures el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [17:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [17:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [17:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 22/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 50 vu: ml
t0: [23:00:00 22/12/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: -1 cv: 0 ap: carryForward
t0: [18:00:00 22/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 96 rs: Manual st: NotStopd
tf: [15:00:00 01/01/2010] pt: Unit Dose rt: PO fr: TID:PRN m1: Kaopectate/Benadryl/Lido Visc. f1: SOLN v1: 30 u1: ml
t0: [18:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [18:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 68.3333 u1: mmHg st: NotStopd t0: [18:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [18:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [18:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 22/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: -1 vo: 68 vu: ml
t0: [23:00:00 22/12/2009] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU cg: -1 cv: 104 ap: none
t0: [13:00:00 22/12/2009] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 168 vo: 240 vu: ml t0: [18:00:00 22/12/2009] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 168 vo: 120 vu: ml
t0: [23:00:00 22/12/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 360 ap: none
t0: [19:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 22/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [19:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [19:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 22/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Chair st: NotStopd t0: [19:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [19:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 87.3333 u1: mmHg st: NotStopd t0: [19:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [19:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [19:00:00 22/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [19:00:00 22/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.2778 u1: Deg. C st: NotStopd t0: [19:00:00 22/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.3 u1: Deg. F st: NotStopd t0: [19:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 22/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [20:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 22/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 22/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 22/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 22/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 22/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [20:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 22/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 22/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [20:00:00 22/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 22/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 22/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 22/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 22/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 22/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 22/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 22/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [20:00:00 22/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 22/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 22/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 22/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [20:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 74.3333 u1: mmHg st: NotStopd t0: [20:00:00 22/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 22/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 22/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 22/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 22/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [20:00:00 22/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 22/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [20:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 22/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 22/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 22/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [20:00:00 22/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 22/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 22/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [20:00:00 22/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [20:00:00 22/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [20:00:00 22/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [20:00:00 22/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [20:00:00 22/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 22/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 22/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [20:00:00 22/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [20:00:00 22/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [20:00:00 22/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [20:00:00 22/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [20:00:00 22/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd t0: [21:00:00 22/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [21:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 133 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [21:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 74.3333 u1: mmHg st: NotStopd
t0: [19:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 22/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 120 vu: ml t0: [21:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [23:00:00 22/12/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 cv: 0 ap: none t0: [23:00:00 22/12/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 cv: 770 ap: none t0: [23:00:00 22/12/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 cv: 874 ap: carryForward
tf: [08:00:00 23/12/2009] pt: IV Piggyback rt: IV fr: Q24H fs: 23 dn: 1 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml tf: [08:00:00 23/12/2009] pt: Unit Dose rt: PO fr: Q24H fs: 23 dn: 1 m1: Levofloxacin f1: TAB v1: 250 u1: mg
t0: [21:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [21:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [21:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [21:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 22/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [22:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 22/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [22:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 22/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 22/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 22/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 22/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 22/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [22:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [22:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [22:00:00 22/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 22/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 22/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 22/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [23:00:00 22/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 22/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 22/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [23:00:00 22/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 22/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [23:00:00 22/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 67.3333 u1: mmHg st: NotStopd t0: [23:00:00 22/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 22/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [23:00:00 22/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [23:00:00 22/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 23/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [00:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 23/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 23/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 23/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 23/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 23/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [00:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [00:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 23/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 23/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [00:00:00 23/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 23/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 23/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 23/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 23/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 23/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 23/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 23/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [00:00:00 23/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 23/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 23/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 23/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [00:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 65.3333 u1: mmHg st: NotStopd t0: [00:00:00 23/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 23/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 23/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 23/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 23/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 23/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [00:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 23/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 23/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 23/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [00:00:00 23/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 23/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [00:00:00 23/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [00:00:00 23/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 23/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [00:00:00 23/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [00:00:00 23/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 23/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 23/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [00:00:00 23/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [00:00:00 23/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [00:00:00 23/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [00:00:00 23/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [00:00:00 23/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [22:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 22/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 23/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 180 vu: ml
t0: [23:00:00 23/12/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 160 cv: 160 ap: none t0: [23:00:00 23/12/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -137.5 cv: -137.5 ap: none t0: [23:00:00 23/12/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 22.5 cv: 802.5 ap: none t0: [23:00:00 23/12/2009] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 22.5 cv: 802.5 ap: none t0: [23:00:00 23/12/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 160 cv: 690 ap: none t0: [23:00:00 23/12/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -137.5 cv: -117.5 ap: none t0: [23:00:00 23/12/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 160 cv: 920 ap: none t0: [23:00:00 23/12/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -137.5 cv: 809.5 ap: carryForward
t0: [01:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 23/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [01:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [01:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 107 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 66.3333 u1: mmHg st: NotStopd t0: [01:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [01:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [01:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 23/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [02:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [02:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 101 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [02:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [02:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [02:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [02:00:00 23/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 23/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 23/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 23/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 23/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [02:00:00 23/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [02:00:00 23/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 23/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [02:00:00 23/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [03:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 23/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [03:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [03:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [03:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [03:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [03:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [03:00:00 23/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [03:00:00 23/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.1667 u1: Deg. C st: NotStopd t0: [03:00:00 23/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.1 u1: Deg. F st: NotStopd t0: [03:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 23/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [04:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 23/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 23/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 23/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 23/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 23/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [04:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 23/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 23/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [04:00:00 23/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 23/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 23/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 23/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 23/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 23/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 23/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 23/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 23/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 23/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 23/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 23/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [04:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 66.3333 u1: mmHg st: NotStopd t0: [04:00:00 23/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 23/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 23/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 23/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 23/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 23/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [04:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 23/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 23/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 23/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [04:00:00 23/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 23/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 23/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [04:00:00 23/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 23/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [04:00:00 23/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [04:00:00 23/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 23/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [04:00:00 23/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [04:00:00 23/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [04:00:00 23/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [04:00:00 23/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [04:00:00 23/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd t0: [05:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 23/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [05:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [05:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [05:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 65.6667 u1: mmHg st: NotStopd t0: [05:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [05:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [05:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 23/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 50 vu: ml t0: [04:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [06:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 23/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [06:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [06:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [06:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 69.3333 u1: mmHg st: NotStopd t0: [06:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [06:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 89 u1: % st: NotStopd t0: [06:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 23/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [06:00:00 23/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 24.6 rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 33.1 u1: % rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 744 rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.46 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 24.6 rs: Final st: NotStopd
t0: [06:00:00 23/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 99 rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 135 rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [07:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [07:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [07:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [07:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [07:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 92 u1: % st: NotStopd t0: [07:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [08:00:00 23/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 23/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [08:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 23/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 23/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 23/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 23/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 23/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [08:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [08:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 23/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 23/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [08:00:00 23/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 23/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 23/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 23/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 23/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 23/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 23/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 23/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 23/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 23/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 23/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 137 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [08:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 74.3333 u1: mmHg st: NotStopd t0: [08:00:00 23/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [08:00:00 23/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [08:00:00 23/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 23/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 23/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 23/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Incisional st: NotStopd t0: [08:00:00 23/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 23/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 23/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 23/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 23/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 23/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [08:00:00 23/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 23/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [08:00:00 23/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [08:00:00 23/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [08:00:00 23/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [08:00:00 23/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [08:00:00 23/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 23/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 23/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 23/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [08:00:00 23/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 23/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 23/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 23/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 23/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [08:00:00 23/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: No Impairment st: NotStopd t0: [08:00:00 23/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [08:00:00 23/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [08:00:00 23/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 23/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [08:00:00 23/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [08:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [08:00:00 23/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 23/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 35.5556 u1: Deg. C st: NotStopd t0: [08:00:00 23/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 96 u1: Deg. F st: NotStopd
t0: [09:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [09:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [09:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 64.3333 u1: mmHg st: NotStopd t0: [09:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [09:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [09:45:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [09:45:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:45:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:45:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:45:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [09:45:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:45:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 175 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [09:45:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 113.667 u1: mmHg st: NotStopd t0: [09:45:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:45:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [09:45:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 81 u1: % st: NotStopd t0: [09:45:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:45:00 23/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vu: ml
t0: [09:45:00 23/12/2009] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [09:45:00 23/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [09:45:00 23/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [09:45:00 23/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Hi Flow Neb st: NotStopd t0: [09:45:00 23/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [09:45:00 23/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [09:45:00 23/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [09:45:00 23/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Other/Remarks v2: Other/Remarks st: NotStopd t0: [09:45:00 23/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [09:50:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [09:50:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:50:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:50:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:50:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [09:50:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:50:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 169 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:50:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 93.6667 u1: mmHg st: NotStopd t0: [09:50:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:50:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [09:50:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [09:50:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
tf: [12:00:00 28/12/2009] pt: Unit Dose rt: IV fr: QD fs: 10 dn: 1 m1: Levothyroxine Sodium f1: VIAL v1: 75 u1: mcg
t0: [10:10:00 23/12/2009] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [10:10:00 23/12/2009] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [10:10:00 23/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [10:10:00 23/12/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [10:10:00 23/12/2009] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 70 u1: mmHg rs: Final st: NotStopd t0: [10:10:00 23/12/2009] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd
t0: [10:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [10:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 156 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 79.3333 u1: mmHg st: NotStopd t0: [10:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [10:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [10:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:15:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [10:15:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:15:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:15:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:15:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [10:15:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:15:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [10:15:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [10:15:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:15:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 38 u1: BPM st: NotStopd t0: [10:15:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [10:15:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:45:00 23/12/2009] tf: [17:39:00 31/12/2009] dt: 11994 id: Gastric Emesis el: 1 cu: MICU cg: -1 vo: 200 vu: ml
t0: [23:00:00 23/12/2009] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: -1 cv: 200 ap: none
t0: [10:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [06:00:00 23/12/2009] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [06:00:00 23/12/2009] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 59 rs: Final st: NotStopd
t0: [11:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [11:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [11:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 45.3333 u1: mmHg st: NotStopd t0: [11:00:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [11:00:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 48 u1: mmHg st: NotStopd t0: [11:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [11:00:00 23/12/2009] id: Significant Events el: 0 cu: MICU cg: -1 v1: Fluid Bolus st: NotStopd t0: [11:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [11:08:00 23/12/2009] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [11:08:00 23/12/2009] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [11:08:00 23/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 37 rs: Final st: NotStopd t0: [11:08:00 23/12/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [11:08:00 23/12/2009] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 114 u1: mmHg rs: Final st: NotStopd t0: [11:08:00 23/12/2009] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd
t0: [11:30:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [11:30:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:30:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:30:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:30:00 23/12/2009] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [11:30:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [11:30:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:30:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:30:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [11:30:00 23/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Hi Flow Neb st: NotStopd t0: [11:30:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 133 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:30:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [11:30:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:30:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [11:30:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [11:30:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:30:00 23/12/2009] id: Procedures el: 0 cu: MICU cg: -1 v1: Bronchoscopy st: NotStopd t0: [11:45:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [11:45:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:45:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:45:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:45:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [11:45:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:45:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 141 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:45:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 83.6667 u1: mmHg st: NotStopd t0: [11:45:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 164 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [11:45:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [11:45:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:45:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [11:45:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:45:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
tf: [12:00:00 28/12/2009] pt: IV Piggyback rt: IV DRIP fr: ASDIR dn: 0 m1: Amiodarone HCl f1: INJ v1: 600 u1: mg m2: D5W (EXCEL BAG) f2: INJ v2: 250 u2: ml tf: [16:00:00 29/12/2009] pt: Unit Dose rt: IV fr: Q6H fs: 12, 18, 0, 6 dn: 4 m1: Metoprolol f1: INJ v1: 5 u1: mg tf: [15:00:00 01/01/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 8 dn: 1 m1: Pantoprazole Sodium f1: INJ v1: 40 u1: mg m2: NS f2: INJ v2: 100 u2: ml
t0: [08:30:00 23/12/2009] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [09:00:00 23/12/2009] id: bath el: 0 cu: MICU cg: -1 v1: done t0: [09:00:00 23/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 23/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 23/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:45:00 23/12/2009] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [12:00:00 23/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 23/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [12:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 23/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 23/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 23/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 23/12/2009] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 23/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 23/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [12:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [12:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 23/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 23/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [12:00:00 23/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 23/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 23/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 23/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 23/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [12:00:00 23/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 23/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 23/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 23/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [12:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 62.3333 u1: mmHg st: NotStopd t0: [12:00:00 23/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Hi Flow Neb st: NotStopd t0: [12:00:00 23/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 23/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 23/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 23/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 23/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Incisional st: NotStopd t0: [12:00:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [12:00:00 23/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 23/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 23/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 23/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 23/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 23/12/2009] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [12:00:00 23/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [12:00:00 23/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 23/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 23/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 23/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [12:00:00 23/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [12:00:00 23/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [12:00:00 23/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [12:00:00 23/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 23/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 23/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [12:00:00 23/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [12:00:00 23/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [12:00:00 23/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [12:00:00 23/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [12:00:00 23/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [12:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
id: Amiodarone el: 200 cu: MICU cg: -1 io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions am: 600 du: mgmin rt: IV Drip
id: D5W el: 2 cu: MICU cg: -1 io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [11:00:00 23/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [11:00:00 23/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [11:00:00 23/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Moderate st: NotStopd t0: [12:00:00 23/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 23/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 23/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [12:00:00 23/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 23/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [13:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [13:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [13:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 60.6667 u1: mmHg st: NotStopd t0: [13:00:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [13:00:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [13:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [13:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:30:00 23/12/2009] id: bath el: 0 cu: MICU cg: -1 v1: done t0: [13:30:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [13:30:00 23/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [13:30:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:30:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:30:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:30:00 23/12/2009] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [13:30:00 23/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [13:30:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [13:30:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:30:00 23/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [13:30:00 23/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [13:30:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [13:30:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 63.6667 u1: mmHg st: NotStopd t0: [13:30:00 23/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Hi Flow Neb st: NotStopd t0: [13:30:00 23/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [13:30:00 23/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [13:30:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:30:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [13:30:00 23/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [13:30:00 23/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:30:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:30:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [13:30:00 23/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [13:30:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:30:00 23/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [13:30:00 23/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [13:30:00 23/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [13:30:00 23/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [13:30:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:30:00 23/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vu: ml nb: 1 t0: [13:30:00 23/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vu: ml
t0: [13:30:00 23/12/2009] tf: [17:39:00 31/12/2009] dt: 11769 id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [13:49:00 23/12/2009] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [13:49:00 23/12/2009] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [13:49:00 23/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [13:49:00 23/12/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [13:49:00 23/12/2009] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [13:49:00 23/12/2009] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Lorazepam f1: SYR v1: 0.5 u1: mg
t0: [14:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [14:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [14:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 59.3333 u1: mmHg st: NotStopd t0: [14:00:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 103 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [14:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [14:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [14:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 23/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 134 rs: Manual st: NotStopd
t0: [14:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [14:00:00 23/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [15:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 23/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Chair st: NotStopd t0: [15:00:00 23/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [15:00:00 23/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [15:00:00 23/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 23/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [15:00:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:00:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [15:00:00 23/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 23/12/2009] tf: [13:00:00 28/12/2009] dt: 7080 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [15:00:00 23/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 23/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [14:00:00 23/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [14:00:00 23/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.6 u1: Deg. F st: NotStopd
t0: [15:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [13:49:00 23/12/2009] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.03 rs: Final st: NotStopd
t0: [16:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 23/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [16:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 23/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 23/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 23/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [16:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 23/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 23/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [16:00:00 23/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 23/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 23/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 23/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [16:00:00 23/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 23/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 23/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 23/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Chair st: NotStopd t0: [16:00:00 23/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 23/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 23/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 23/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 23/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 23/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 23/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 23/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [16:00:00 23/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [16:00:00 23/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 23/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:00:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [16:00:00 23/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 23/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 23/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 23/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [16:00:00 23/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 23/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [16:00:00 23/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [16:00:00 23/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 23/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 35.5556 u1: Deg. C st: NotStopd t0: [16:00:00 23/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 96 u1: Deg. F st: NotStopd t0: [16:00:00 23/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [16:00:00 23/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [16:00:00 23/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 23/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [16:00:00 23/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [16:00:00 23/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [16:00:00 23/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 23/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 23/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 23/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 23/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [16:00:00 23/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: No Impairment st: NotStopd t0: [16:00:00 23/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [16:00:00 23/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [16:00:00 23/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [16:00:00 23/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [16:00:00 23/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [16:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 23/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [16:00:00 23/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
tf: [15:00:00 01/01/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Hydroxyurea f1: CAP v1: 500 u1: mg
t0: [11:00:00 23/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: -1 v1: alb st: NotStopd t0: [17:00:00 23/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: -1 v1: alb st: NotStopd
tf: [17:00:00 28/12/2009] pt: IV Piggyback rt: IV fr: Q24H fs: 17 dn: 1 m1: Levofloxacin f1: BAG v1: 250 u1: mg m2: Dextrose 5% f2: INJ v2: 50 u2: ml
t0: [17:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [17:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [17:00:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [17:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [17:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 23/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [17:00:00 23/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 23/12/2009] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 23/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Hi Flow Neb st: NotStopd
t0: [18:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [18:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 23/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [18:00:00 23/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [18:00:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [18:00:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [18:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [18:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [18:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 23/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 23/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [18:00:00 23/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [23:00:00 23/12/2009] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU cg: -1 cv: 30 ap: none
t0: [19:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [19:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [19:00:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [19:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [19:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [19:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 23/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [19:00:00 23/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 200 vu: ml
t0: [19:00:00 23/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 23/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 23/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [20:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 23/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 23/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 23/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 23/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 23/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [20:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 23/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 23/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [20:00:00 23/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 23/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 23/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [20:00:00 23/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 23/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 23/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 23/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 23/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 23/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 23/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 23/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [20:00:00 23/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 23/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 23/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 23/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 23/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 23/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 23/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 23/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 141 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:00:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [20:00:00 23/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [20:00:00 23/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 23/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 23/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 23/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 23/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [20:00:00 23/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 23/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 23/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [20:00:00 23/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [20:00:00 23/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 23/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.0556 u1: Deg. C st: NotStopd t0: [20:00:00 23/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 96.9 u1: Deg. F st: NotStopd t0: [20:00:00 23/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [20:00:00 23/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [20:00:00 23/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [20:00:00 23/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 23/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 23/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [20:00:00 23/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [20:00:00 23/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 23/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 23/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 23/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 23/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [20:00:00 23/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: No Impairment st: NotStopd t0: [20:00:00 23/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [20:00:00 23/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [20:00:00 23/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [20:00:00 23/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [20:00:00 23/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [20:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 23/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [20:00:00 23/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 23/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [21:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [21:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:00:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [21:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [21:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [21:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 23/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [22:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 23/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [22:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 23/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 23/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 23/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 23/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [22:00:00 23/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 23/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [22:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [22:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [22:00:00 23/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 23/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 23/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 23/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 23/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [23:00:00 23/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 23/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 23/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [23:00:00 23/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 23/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 141 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 23/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [23:00:00 23/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 23/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [23:00:00 23/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 23/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 24/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [00:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 24/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 24/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 24/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 24/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 24/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [00:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [00:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 24/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 24/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [00:00:00 24/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 24/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 24/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [00:00:00 24/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 24/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 24/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 24/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 24/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 24/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 24/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 24/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [00:00:00 24/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 24/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 24/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 24/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 24/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 24/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 24/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 24/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [00:00:00 24/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 24/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 24/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [00:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 24/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 24/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 24/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [00:00:00 24/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 24/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 24/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [00:00:00 24/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [00:00:00 24/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 24/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [00:00:00 24/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [00:00:00 24/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 24/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [00:00:00 24/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [00:00:00 24/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 24/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [00:00:00 24/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 24/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [00:00:00 24/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [00:00:00 24/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: No Impairment st: NotStopd t0: [00:00:00 24/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [00:00:00 24/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [00:00:00 24/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [00:00:00 24/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [00:00:00 24/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd t0: [01:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 24/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [01:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [01:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 165 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [01:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [01:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [01:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 23/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [22:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 23/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [23:00:00 23/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 23/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [23:00:00 23/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 160 vu: ml t0: [00:00:00 24/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [01:00:00 24/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [21:00:00 23/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 23/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 23/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
id: KCL el: 100 cu: MICU cg: -1 io: D5/.45NS 10000.0ml IV Infusions am: 60 du: mEq rt: Intravenous Push
id: D5/.45NS el: 1 cu: MICU cg: -1 io: D5/.45NS 10000.0ml IV Infusions vo: 10000 du: ml rt: Intravenous Push
t0: [00:00:00 24/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Restless st: NotStopd t0: [02:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 24/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [02:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 24/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [02:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 24/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 24/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [02:00:00 24/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [02:00:00 24/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [02:00:00 24/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [02:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [02:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 24/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [02:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 24/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [03:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [03:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [03:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [03:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [03:00:00 24/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [03:00:00 24/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [03:00:00 24/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [03:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 24/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [04:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 24/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 24/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 24/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 24/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 24/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [04:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [04:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 24/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 24/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [04:00:00 24/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 24/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 24/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [04:00:00 24/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 24/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 24/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 24/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 24/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [04:00:00 24/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 24/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 24/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 24/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 24/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 24/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 24/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 24/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 24/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 24/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 24/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [04:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [04:00:00 24/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 24/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 24/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 24/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 24/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 24/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [04:00:00 24/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 24/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 24/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [04:00:00 24/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [04:00:00 24/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 24/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [04:00:00 24/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [04:00:00 24/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 24/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 24/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Restless st: NotStopd t0: [04:00:00 24/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [04:00:00 24/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [04:00:00 24/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 24/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [04:00:00 24/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [04:00:00 24/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [04:00:00 24/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [04:00:00 24/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: No Impairment st: NotStopd t0: [04:00:00 24/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [04:00:00 24/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [04:00:00 24/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [04:00:00 24/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [04:00:00 24/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd t0: [05:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 24/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [05:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [05:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [05:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [05:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [05:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 24/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 50 vu: ml t0: [02:00:00 24/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [03:00:00 24/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [03:00:00 24/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 50 vu: ml t0: [04:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [05:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [05:00:00 24/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [02:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [04:45:00 24/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 26.6 rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.7 u1: % rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 854 rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.39 u1: /mic l rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 26.6 rs: Final st: NotStopd
t0: [04:45:00 24/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 150 rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [06:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 24/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [06:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [06:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 146 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [06:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [06:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [06:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 24/12/2009] tf: [17:39:00 31/12/2009] dt: 10899 id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [04:00:00 24/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vu: ml t0: [05:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [05:00:00 24/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vu: ml t0: [06:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [06:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [06:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [04:45:00 24/12/2009] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:45:00 24/12/2009] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 61 rs: Final st: NotStopd
t0: [07:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 24/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [07:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [07:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 161 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [07:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg st: NotStopd t0: [07:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [07:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [07:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 24/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: -1 vo: 50 vu: ml t0: [07:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [07:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [07:00:00 24/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 50 vu: ml
t0: [07:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 24/12/2009] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.32 u1: torr st: NotStopd t0: [08:00:00 24/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: -1 v1: alb st: NotStopd
t0: [08:00:00 24/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [07:00:00 24/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [07:00:00 24/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [08:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 24/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [08:00:00 24/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [08:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 24/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 24/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 24/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 24/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [08:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 24/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 24/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [08:00:00 24/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 24/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 24/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 24/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [08:00:00 24/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 24/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 24/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 24/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 24/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 24/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 24/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 24/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 24/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 24/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 24/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 24/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 24/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 150 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [08:00:00 24/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 24/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 24/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 24/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [08:00:00 24/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 24/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 24/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 24/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [08:00:00 24/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [08:00:00 24/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 24/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [08:00:00 24/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.2 u1: Deg. F st: NotStopd t0: [08:00:00 24/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [08:00:00 24/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [08:00:00 24/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 24/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 24/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 24/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [08:00:00 24/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [08:00:00 24/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 24/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [08:00:00 24/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [08:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [08:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 24/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 24/12/2009] id: bath el: 0 cu: MICU cg: -1 v1: done t0: [09:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 24/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [09:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [09:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 24/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Chair st: NotStopd t0: [09:00:00 24/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [09:00:00 24/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [09:00:00 24/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [09:00:00 24/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 24/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [09:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:00:00 24/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Incisional st: NotStopd t0: [09:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [09:00:00 24/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [09:00:00 24/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [09:00:00 24/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 24/12/2009] tf: [21:00:00 25/12/2009] dt: 2160 id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [09:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [09:00:00 24/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vu: ml es: Large
t0: [09:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [10:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [10:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [10:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [10:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [10:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [10:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 24/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [11:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 24/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [11:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [11:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 24/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [11:00:00 24/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [11:00:00 24/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [11:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [11:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [11:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [11:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 92 u1: % st: NotStopd t0: [11:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [11:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [11:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 24/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: -1 v1: alb st: NotStopd t0: [12:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 24/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [12:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 24/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 24/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 24/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [12:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 24/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 24/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [12:00:00 24/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 24/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 24/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 24/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 24/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 24/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [12:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [12:00:00 24/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 24/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 24/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 24/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [12:00:00 24/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 24/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [12:00:00 24/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [12:00:00 24/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 24/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [12:00:00 24/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [12:00:00 24/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [12:00:00 24/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Voids st: NotStopd t0: [12:00:00 24/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 24/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 24/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [12:00:00 24/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [12:00:00 24/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [12:00:00 24/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [12:00:00 24/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [12:00:00 24/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd t0: [13:00:00 24/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [13:00:00 24/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [13:00:00 24/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [13:00:00 24/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [13:00:00 24/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [13:00:00 24/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [13:00:00 24/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [13:00:00 24/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [13:00:00 24/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [13:00:00 24/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [13:00:00 24/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [13:00:00 24/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 24/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [13:00:00 24/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [13:00:00 24/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 24/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [13:00:00 24/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 24/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [13:00:00 24/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Scant st: NotStopd t0: [13:00:00 24/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd
t0: [12:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [12:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [12:00:00 24/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vu: ml es: Large
t0: [12:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
id: KCL el: 201 cu: MICU cg: -1 io: D5/.45NS 10000.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
io: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ra: 60 ru: ml/hr
id: D5/.45NS el: 2 cu: MICU cg: -1 io: D5/.45NS 10000.0ml IV Infusions vo: 10000 du: ml rt: Intravenous Push
t0: [13:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [13:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 24/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [13:00:00 24/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [13:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [13:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [13:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [13:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 92 u1: % st: NotStopd t0: [13:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [13:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [13:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 24/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 24/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 24/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [14:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 24/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [14:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [14:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [14:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [14:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [14:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 24/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [15:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 24/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [15:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [15:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 24/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [15:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [15:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [15:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [15:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [15:00:00 24/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 24/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [15:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [15:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [15:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 24/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [15:00:00 24/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 24/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [15:00:00 24/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 24/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [15:00:00 24/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 24/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [16:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 24/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [16:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 24/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 24/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 24/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 24/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [16:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 24/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 24/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [16:00:00 24/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 24/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 24/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 24/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [16:00:00 24/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 24/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 24/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 24/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 24/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 24/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 24/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 24/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 24/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 24/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 24/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 147 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [16:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [16:00:00 24/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 24/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 24/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 24/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [16:00:00 24/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 24/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [16:00:00 24/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [16:00:00 24/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 24/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 24/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 24/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [16:00:00 24/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [16:00:00 24/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [16:00:00 24/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [16:00:00 24/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [16:00:00 24/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [16:00:00 24/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [16:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [16:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [16:00:00 24/12/2009] tf: [17:39:00 31/12/2009] dt: 10179 id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 200 vu: ml
t0: [16:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 24/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 120 rs: Manual st: NotStopd t0: [17:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [17:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 151 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [17:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [17:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [17:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [17:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [17:00:00 24/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [17:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [18:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [18:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [18:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [18:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [18:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [18:00:00 24/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml
t0: [18:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: SC fr: Q12H fs: 19, 7 dn: 2 m1: Enoxaparin Sodium f1: SYR v1: 60 u1: mg
t0: [19:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 24/12/2009] id: Family Communication el: 0 cu: MICU cg: -1 v1: Fam Talked to RN st: NotStopd t0: [19:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [19:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 24/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [19:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 143 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [19:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [19:00:00 24/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [19:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [19:00:00 24/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [19:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 24/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [20:00:00 24/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [20:00:00 24/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 24/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [20:00:00 24/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 24/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [20:00:00 24/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [20:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 24/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 24/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 24/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 24/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 24/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [20:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 24/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 24/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [20:00:00 24/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 24/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 24/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 24/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [20:00:00 24/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 24/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 24/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 24/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 24/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 24/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 24/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 24/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 24/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [20:00:00 24/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [20:00:00 24/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 24/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 24/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 24/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [20:00:00 24/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [20:00:00 24/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 24/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 24/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 148 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 24/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: At Rest st: NotStopd t0: [20:00:00 24/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [20:00:00 24/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Incisional st: NotStopd t0: [20:00:00 24/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: Repositioned v2: Backrub st: NotStopd t0: [20:00:00 24/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Constant st: NotStopd t0: [20:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [20:00:00 24/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 24/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 24/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [20:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 24/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [20:00:00 24/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 24/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [20:00:00 24/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 24/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [20:00:00 24/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v2: None st: NotStopd t0: [20:00:00 24/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 24/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [20:00:00 24/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [20:00:00 24/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [20:00:00 24/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 24/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 24/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 24/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 24/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 24/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [20:00:00 24/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [20:00:00 24/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 24/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 24/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [20:00:00 24/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [20:00:00 24/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [20:00:00 24/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 24/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [20:00:00 24/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [20:00:00 24/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [20:00:00 24/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [20:00:00 24/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd t0: [21:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 59 u1: BPM st: NotStopd t0: [21:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 137 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [21:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [21:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [21:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [19:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [20:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [20:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [20:00:00 24/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 50 vu: ml t0: [21:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [21:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [21:00:00 24/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 70 vu: ml
t0: [19:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [22:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 141 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [22:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [22:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [22:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [22:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [22:00:00 24/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml t0: [23:00:00 24/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [23:00:00 24/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [23:00:00 24/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml
t0: [23:00:00 24/12/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 25 cv: 695 ap: carryForward
t0: [19:00:00 24/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: -1 vo: 75 vu: ml
t0: [23:00:00 24/12/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 25 cv: 25 ap: none t0: [23:00:00 24/12/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 25 cv: 820 ap: carryForward t0: [23:00:00 24/12/2009] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU cg: -1 cv: 125 ap: none
t0: [23:00:00 24/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [23:00:00 24/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [23:00:00 24/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 24/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [23:00:00 24/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 24/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 24/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [23:00:00 24/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [23:00:00 24/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 24/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [23:00:00 24/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 24/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:00:00 24/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 24/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 24/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [23:00:00 24/12/2009] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [23:00:00 24/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [23:00:00 24/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [23:00:00 24/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 58 u1: BPM st: NotStopd t0: [23:00:00 24/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 24/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [23:00:00 24/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [23:00:00 24/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [23:00:00 24/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [23:00:00 24/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 24/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [23:00:00 24/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [23:00:00 24/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [23:00:00 24/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [23:00:00 24/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [23:00:00 24/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [23:00:00 24/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [23:00:00 24/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 24/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [23:00:00 24/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 24/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [23:00:00 24/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [23:00:00 24/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [23:00:00 24/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [23:00:00 24/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 24/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [23:00:00 24/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [23:00:00 24/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 24/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 24/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [23:00:00 24/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 24/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 24/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Activity st: NotStopd t0: [23:00:00 24/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [23:00:00 24/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Incisional st: NotStopd t0: [23:00:00 24/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: Repositioned v2: Backrub st: NotStopd t0: [23:00:00 24/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Constant st: NotStopd t0: [23:00:00 24/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [23:00:00 24/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [23:00:00 24/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:00:00 24/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [23:00:00 24/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 24/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [23:00:00 24/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [23:00:00 24/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [23:00:00 24/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [23:00:00 24/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [23:00:00 24/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 24/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [23:00:00 24/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 92 u1: % st: NotStopd t0: [23:00:00 24/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [23:00:00 24/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [23:00:00 24/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [23:00:00 24/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [23:00:00 24/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [23:00:00 24/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [23:00:00 24/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [23:00:00 24/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [23:00:00 24/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [23:00:00 24/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 24/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 24/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [23:00:00 24/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [23:00:00 24/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [23:00:00 24/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [23:00:00 24/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [23:00:00 24/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [23:00:00 24/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [23:00:00 24/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [23:00:00 24/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [23:00:00 24/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [23:00:00 24/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [23:00:00 24/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [23:00:00 24/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [23:00:00 24/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [22:00:00 24/12/2009] tf: [08:00:00 25/12/2009] dt: 600 id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [23:00:00 24/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 10 vu: ml
t0: [23:00:00 24/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 24/12/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: 57.5 cv: 57.5 ap: none t0: [23:00:00 24/12/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 72.5 cv: 1720 ap: none t0: [23:00:00 24/12/2009] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 82.5 cv: 1740 ap: none t0: [23:00:00 24/12/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: 57.5 cv: 920 ap: carryForward t0: [23:00:00 24/12/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: 57.5 cv: 1729.5 ap: carryForward
tf: [10:00:00 28/12/2009] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium f1: INJ v1: 25000 u1: UNIT m2: D5W f2: INJ v2: 250 u2: ml tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide f1: INJ v1: 40 u1: mg
t0: [00:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [00:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [00:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [00:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [00:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 25/12/2009] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.35 u1: torr st: NotStopd t0: [01:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [01:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 25/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [01:00:00 25/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [01:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 141 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [01:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [01:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [00:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [00:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [00:00:00 25/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml t0: [01:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [01:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [01:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [01:00:00 25/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [00:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 58 u1: BPM st: NotStopd t0: [02:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [02:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [02:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [02:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [02:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [02:00:00 25/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [02:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 59 u1: BPM st: NotStopd t0: [03:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [03:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [03:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [03:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [03:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [03:00:00 25/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml
t0: [03:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 25/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: -1 v1: alb/atr st: NotStopd
t0: [01:00:00 25/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [03:00:00 25/12/2009] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.35 u1: torr st: NotStopd t0: [03:00:00 25/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [03:00:00 25/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [03:00:00 25/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [03:00:00 25/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [03:00:00 25/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [03:00:00 25/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 25/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [03:00:00 25/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [03:00:00 25/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [03:00:00 25/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [03:00:00 25/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 25/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [04:00:00 25/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [04:00:00 25/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 25/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 25/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 25/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 25/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 25/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [04:00:00 25/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 25/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 25/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 25/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [04:00:00 25/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 25/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 25/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 25/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 25/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 25/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 25/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 25/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 25/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 25/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 25/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 25/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 25/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [04:00:00 25/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [04:00:00 25/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 25/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 25/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 25/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [04:00:00 25/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 25/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 25/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 25/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 25/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [04:00:00 25/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Scant st: NotStopd t0: [04:00:00 25/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 25/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 25/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 25/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 25/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [04:00:00 25/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [04:00:00 25/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 25/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [04:00:00 25/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [04:00:00 25/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [04:00:00 25/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [04:00:00 25/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [04:00:00 25/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [04:00:00 25/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [04:00:00 25/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [04:00:00 25/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [04:00:00 25/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [04:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [04:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [04:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [04:00:00 25/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [03:54:00 25/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 25.9 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 28.5 u1: % rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.7 u1: gm/dl rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 870 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3 u1: /mic l rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 25.9 rs: Final st: NotStopd
t0: [03:54:00 25/12/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.1 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 27.8 rs: Final st: NotStopd
t0: [03:54:00 25/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 171 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [03:54:00 25/12/2009] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [03:54:00 25/12/2009] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 85 rs: Final st: NotStopd
t0: [04:00:00 25/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [04:00:00 25/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [04:00:00 25/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 25/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [04:00:00 25/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 25/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [04:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 25/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Activity st: NotStopd t0: [04:00:00 25/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [04:00:00 25/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Incisional st: NotStopd t0: [04:00:00 25/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: Repositioned v2: Backrub st: NotStopd t0: [04:00:00 25/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Constant st: NotStopd t0: [04:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [04:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [04:00:00 25/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 25/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [04:00:00 25/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [04:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [05:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [05:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 25/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [05:00:00 25/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [05:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [05:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [05:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [05:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [05:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [05:00:00 25/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [04:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 25/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: -1 vo: 60 vu: ml
t0: [23:00:00 25/12/2009] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU cg: -1 cv: 60 ap: none
id: Nitroglycerine-k el: 100 cu: MICU cg: -1 io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions am: 100 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: MICU cg: -1 ra: 20 ru: ml/hr
id: D5W el: 1 cu: MICU cg: -1 io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [06:32:00 25/12/2009] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [06:32:00 25/12/2009] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [06:32:00 25/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [06:32:00 25/12/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [06:32:00 25/12/2009] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [06:32:00 25/12/2009] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [06:47:00 25/12/2009] id: BSA el: 1033 cu: MICU cg: -1 t0: [06:47:00 25/12/2009] id: Admit Wt el: 1032 cu: MICU cg: -1 v1: 68 u1: kg t0: [06:47:00 25/12/2009] id: Allergy 1 el: 1020 cu: MICU cg: -1 t0: [06:47:00 25/12/2009] id: Diagnosis/op el: 1023 cu: MICU cg: -1 v1: LUNG MASS LEFT/SDA t0: [06:47:00 25/12/2009] id: Service el: 1026 cu: MICU cg: -1 v1: TSU t0: [06:47:00 25/12/2009] id: Admit Ht el: 1034 cu: MICU cg: -1 t0: [06:47:00 25/12/2009] id: Readmission el: 1014 cu: MICU cg: -1 t0: [06:47:00 25/12/2009] id: Marital Status el: 1006 cu: MICU cg: -1 v1: W t0: [06:47:00 25/12/2009] id: Religion el: 1000 cu: MICU cg: -1 v1: JEW t0: [06:47:00 25/12/2009] id: Allergy 2 el: 1021 cu: MICU cg: -1 t0: [06:47:00 25/12/2009] id: Ext el: 1010 cu: MICU cg: -1 t0: [06:47:00 25/12/2009] id: PIN el: 1012 cu: MICU cg: -1 t0: [06:47:00 25/12/2009] id: Allergy 3 el: 1022 cu: MICU cg: -1
t0: [05:15:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [05:15:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:15:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [05:15:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:15:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [05:15:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:15:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [05:15:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [05:15:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [05:30:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [05:30:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:30:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [05:30:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 134 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:30:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [05:30:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:30:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [05:30:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [05:30:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [05:45:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [05:45:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:45:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [05:45:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:45:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [05:45:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:45:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [05:45:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [05:45:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [06:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 147 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [06:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [06:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 59 u1: % st: NotStopd t0: [06:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:15:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:15:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:15:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [06:15:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 165 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:15:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [06:15:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:15:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [06:15:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:30:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:30:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:30:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 113 u1: BPM st: NotStopd t0: [06:30:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Vent. Tachy st: NotStopd t0: [06:30:00 25/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 231 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [06:30:00 25/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 131.667 u1: mmHg st: NotStopd t0: [06:30:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 226 u1: mmHg v2: 142 u2: mmHg st: NotStopd t0: [06:30:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 188 u1: mmHg st: NotStopd t0: [06:30:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:30:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 43 u1: % st: NotStopd t0: [06:30:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:35:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:35:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:35:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 115 u1: BPM st: NotStopd t0: [06:35:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:35:00 25/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 198 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [06:35:00 25/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg st: NotStopd t0: [06:35:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 196 u1: mmHg v2: 98 u2: mmHg st: NotStopd t0: [06:35:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg st: NotStopd t0: [06:35:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:35:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 47 u1: % st: NotStopd t0: [06:35:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:40:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:40:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:40:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [06:40:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [06:40:00 25/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 161 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [06:40:00 25/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [06:40:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 168 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [06:40:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg st: NotStopd t0: [06:40:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:40:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [06:40:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:45:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:45:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:45:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 115 u1: BPM st: NotStopd t0: [06:45:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [06:45:00 25/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 161 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [06:45:00 25/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [06:45:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 107 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [06:45:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [06:45:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:45:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 38 u1: BPM st: NotStopd t0: [06:45:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:50:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:50:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:50:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [06:50:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 101 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:50:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [06:50:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:50:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [06:50:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:55:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:55:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:55:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [06:55:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 99 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:55:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [06:55:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:55:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [06:55:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:15:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:30:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:45:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:15:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:30:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:35:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:40:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:45:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:50:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:55:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
id: Neosynephrine-k el: 100 cu: MICU cg: -1 io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip id: Dopamine el: 100 cu: MICU cg: -1 io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip
id: D5W el: 1 cu: MICU cg: -1 io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: MICU cg: -1 io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [07:15:00 25/12/2009] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [07:15:00 25/12/2009] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -1 rs: Final st: NotStopd t0: [07:15:00 25/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 24 rs: Final st: NotStopd t0: [07:15:00 25/12/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [07:15:00 25/12/2009] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 128 u1: mmHg rs: Final st: NotStopd t0: [07:15:00 25/12/2009] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd
t0: [07:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [07:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [07:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 36 u1: BPM st: NotStopd t0: [07:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:05:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [07:05:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:05:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [07:05:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [07:05:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [07:05:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:05:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [07:05:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:10:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [07:10:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:10:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [07:10:00 25/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 87 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [07:10:00 25/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 55.6667 u1: mmHg st: NotStopd t0: [07:10:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 70 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [07:10:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 43 u1: mmHg st: NotStopd t0: [07:10:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:10:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [07:10:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:15:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [07:15:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:15:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [07:15:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [07:15:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [07:15:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:15:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [07:15:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:20:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [07:20:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:20:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [07:20:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 70 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [07:20:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 50 u1: mmHg st: NotStopd t0: [07:20:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:20:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [07:20:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:25:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [07:25:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:25:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [07:25:00 25/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [07:25:00 25/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 48.6667 u1: mmHg st: NotStopd t0: [07:25:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [07:25:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 51 u1: mmHg st: NotStopd t0: [07:25:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:25:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [07:25:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 120 vu: ml t0: [07:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [07:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 25 vu: ml
t0: [07:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:05:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:10:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:15:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:20:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:25:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [07:30:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [07:30:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:30:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:30:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:30:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [07:30:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:30:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [07:30:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [07:30:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:30:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [07:30:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:30:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:30:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [08:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 25/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 95 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [08:00:00 25/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [08:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [08:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [08:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
tf: [08:00:00 25/12/2009] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: DopAmine f1: BAG v1: 400 u1: mg m2: D5W f2: INJ v2: 250 u2: ml tf: [15:00:00 01/01/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Nitroglycerin f1: INJ v1: 100 u1: mg m2: D5W f2: INJ v2: 250 u2: ml tf: [15:00:00 01/01/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl f1: INJ v1: 60 u1: mg m2: D5W f2: INJ v2: 250 u2: ml tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Potassium Chloride f1: BAG v1: 40 u1: mEq m2: SW f2: INJ v2: 100 u2: ml tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Amiodarone HCl f1: INJ v1: 150 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Fentanyl Citrate f1: INJ v1: 50 u1: mcg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Magnesium Sulfate f1: INJ v1: 2 u1: gm
t0: [08:00:00 25/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [08:00:00 25/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.5556 u1: Deg. C st: NotStopd t0: [08:00:00 25/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.6 u1: Deg. F st: NotStopd
t0: [08:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 60 vu: ml t0: [08:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [08:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [08:00:00 25/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [06:45:00 25/12/2009] tf: [17:39:00 31/12/2009] dt: 9294 id: CPK Enzymes el: 0 cu: MICU cg: 1663 v1: 38 rs: Final st: NotStopd t0: [08:00:00 25/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 25/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd
t0: [08:00:00 25/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [08:00:00 25/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 25/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 25/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 25/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 25/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 25/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 25/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Lethargic st: NotStopd t0: [08:00:00 25/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 25/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 25/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 25/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 25/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 25/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 25/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 25/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 25/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 25/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 25/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 25/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [08:00:00 25/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [08:00:00 25/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 25/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [08:00:00 25/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [08:00:00 25/12/2009] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [08:00:00 25/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 25/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 25/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 25/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 25/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 25/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 25/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 25/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Appropriate st: NotStopd t0: [08:00:00 25/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [08:00:00 25/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 25/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 25/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 25/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 25/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 14 u1: number st: NotStopd t0: [08:00:00 25/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd
t0: [08:00:00 25/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 25/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [08:00:00 25/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 25/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 25/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 25/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [08:00:00 25/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 25/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 25/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [08:00:00 25/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 25/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd
t0: [07:00:00 25/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Non-Rebreather st: NotStopd t0: [07:00:00 25/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 1 u1: lpm st: NotStopd
t0: [08:00:00 25/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [08:00:00 25/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 25/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 25/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [08:00:00 25/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Small st: NotStopd
t0: [06:45:00 25/12/2009] tf: [17:39:00 31/12/2009] dt: 9294 id: Troponin Enzymes el: 0 cu: MICU cg: 1663 v1: <0.3 rs: Final st: NotStopd
t0: [06:00:00 25/12/2009] id: Significant Events el: 0 cu: MICU cg: -1 v1: Dysrhythmia st: NotStopd t0: [07:00:00 25/12/2009] id: Procedures el: 0 cu: MICU cg: -1 v1: EKG st: NotStopd t0: [08:00:00 25/12/2009] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [09:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [09:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 107 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [09:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 5 vu: ml t0: [09:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [09:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [09:00:00 25/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [09:00:00 25/12/2009] id: bath el: 0 cu: MICU cg: -1 v1: done t0: [09:00:00 25/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 25/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [09:00:00 25/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 25/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [09:00:00 25/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 25/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 25/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 25/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 25/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 25/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 25/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 25/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [09:30:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [09:30:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:30:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:30:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:30:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [09:30:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:30:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:30:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [09:30:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:30:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [09:30:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:30:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:30:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [09:35:00 25/12/2009] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
id: Packed RBC's el: 1 cu: MICU cg: -1 io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [10:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [10:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [10:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [10:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 5 vu: ml t0: [10:00:00 25/12/2009] tf: [09:00:00 29/12/2009] dt: 5700 id: Packed RBC's IV Infusions el: 1 cu: MICU cg: -1 ai: -1 vo: 375 vu: ml t0: [10:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [10:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [10:00:00 25/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [23:00:00 25/12/2009] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: -1 cv: 375 ap: none
t0: [10:00:00 25/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [10:00:00 25/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [10:00:00 25/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [10:00:00 25/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [10:00:00 25/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [10:00:00 25/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [10:00:00 25/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [10:00:00 25/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [10:00:00 25/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 25/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 25/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [10:00:00 25/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [10:00:00 25/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [10:00:00 25/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [10:00:00 25/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [10:00:00 25/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 25/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [10:00:00 25/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [10:00:00 25/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [10:00:00 25/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [10:00:00 25/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [10:00:00 25/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [10:00:00 25/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [10:00:00 25/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [10:01:00 25/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 18 rs: Final st: NotStopd t0: [10:01:00 25/12/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.3 u1: mg/dl rs: Final st: NotStopd t0: [10:01:00 25/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 22 rs: Final st: NotStopd t0: [10:01:00 25/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [10:01:00 25/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [10:01:00 25/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 rs: Final st: NotStopd t0: [10:01:00 25/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 5.2 rs: Final st: NotStopd t0: [10:01:00 25/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 135 rs: Final st: NotStopd
t0: [10:01:00 25/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: -1 v1: 212 rs: Final st: NotStopd t0: [11:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [11:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 95 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [11:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [11:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 25/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [11:00:00 25/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 25/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [11:00:00 25/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [11:00:00 25/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 25/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [11:00:00 25/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 25/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd
t0: [11:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 5 vu: ml t0: [11:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [11:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [11:00:00 25/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml
t0: [11:00:00 25/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [11:00:00 25/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [11:00:00 25/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [11:00:00 25/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd
t0: [12:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [12:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Arrhythmia st: NotStopd t0: [12:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 25/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [12:00:00 25/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [12:00:00 25/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.4 u1: Deg. F st: NotStopd t0: [12:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 25/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 25/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 25/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Venti Mask st: NotStopd t0: [12:00:00 25/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 0.7 u1: lpm st: NotStopd
t0: [12:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 5 vu: ml t0: [12:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [12:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [12:00:00 25/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: SC fr: Q12H fs: 12, 0 dn: 2 m1: Enoxaparin Sodium f1: SYR v1: 60 u1: mg
t0: [13:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [13:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Arrhythmia st: NotStopd t0: [13:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [13:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [13:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 5 vu: ml t0: [13:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [13:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [13:00:00 25/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 80 vu: ml
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: SC fr: Q12H fs: 13, 1 dn: 2 m1: Enoxaparin Sodium f1: SYR v1: 60 u1: mg
t0: [14:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 5 vu: ml t0: [14:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [14:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [14:00:00 25/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [14:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [14:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 25/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Venti Mask st: NotStopd t0: [14:00:00 25/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 0.5 u1: lpm st: NotStopd t0: [14:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 25/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [14:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [14:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [14:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 25/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [14:00:00 25/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 25/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 25/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Thick st: NotStopd t0: [14:00:00 25/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Small st: NotStopd
t0: [14:00:00 25/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [14:00:00 25/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [14:00:00 25/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [14:00:00 25/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 25/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [14:00:00 25/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 25/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [14:00:00 25/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [14:00:00 25/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [14:00:00 25/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [14:00:00 25/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 25/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 25/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 25/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [14:00:00 25/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 25/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [14:00:00 25/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 25/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [14:00:00 25/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [14:00:00 25/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [14:00:00 25/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [14:00:00 25/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 25/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [14:00:00 25/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [14:00:00 25/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [14:00:00 25/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [14:00:00 25/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [14:00:00 25/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [14:00:00 25/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [14:00:00 25/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [13:40:00 25/12/2009] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [13:40:00 25/12/2009] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [13:40:00 25/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [13:40:00 25/12/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [13:40:00 25/12/2009] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [13:40:00 25/12/2009] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [13:34:00 25/12/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [13:34:00 25/12/2009] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.7 rs: Final st: NotStopd t0: [13:34:00 25/12/2009] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 42.1 rs: Final st: NotStopd
t0: [13:40:00 25/12/2009] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: -1 v1: 1.06 rs: Final st: NotStopd
t0: [13:34:00 25/12/2009] tf: [17:39:00 31/12/2009] dt: 8885 id: CPK/MB Enzymes el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd
t0: [13:34:00 25/12/2009] id: Troponin Enzymes el: 0 cu: MICU cg: 1663 v1: 30.2 rs: Final st: NotStopd
t0: [15:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 5 vu: ml t0: [15:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [15:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [15:00:00 25/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 100 vu: ml
id: Heparin el: 200 cu: MICU cg: -1 io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: U rt: IV Drip
io: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU cg: -1 ra: 10 ru: ml/hr
id: D5W el: 2 cu: MICU cg: -1 io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [15:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [15:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [15:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 25/12/2009] id: Procedures el: 0 cu: MICU cg: -1 v1: EKG st: NotStopd t0: [15:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [15:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [15:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 25/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 25/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [16:00:00 25/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [16:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 25/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 25/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 25/12/2009] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 25/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [16:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 25/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 25/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [16:00:00 25/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 25/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 25/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 25/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [16:00:00 25/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 25/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [16:00:00 25/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [16:00:00 25/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 25/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 25/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 25/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 25/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 25/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 25/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 25/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 25/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 25/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 25/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 25/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 25/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Venti Mask st: NotStopd t0: [16:00:00 25/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 0.5 u1: lpm st: NotStopd t0: [16:00:00 25/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 25/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [16:00:00 25/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [16:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 25/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 25/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 25/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [16:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [16:00:00 25/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 25/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:00:00 25/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Thick st: NotStopd t0: [16:00:00 25/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [16:00:00 25/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [16:00:00 25/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 25/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 25/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Appropriate st: NotStopd t0: [16:00:00 25/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [16:00:00 25/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 25/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 25/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 25/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 25/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 25/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 25/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 25/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [16:00:00 25/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [16:00:00 25/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [16:00:00 25/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [16:00:00 25/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [16:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 5 vu: ml t0: [16:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [16:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [16:00:00 25/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 140 vu: ml
t0: [16:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [20:15:00 25/12/2009] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.6 u1: % rs: Final st: NotStopd
t0: [20:15:00 25/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [20:15:00 25/12/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [20:15:00 25/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 24 rs: Final st: NotStopd t0: [20:15:00 25/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [20:15:00 25/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [20:15:00 25/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 150 rs: Final st: NotStopd t0: [20:15:00 25/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [20:15:00 25/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [20:15:00 25/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [17:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [17:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [17:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [17:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [18:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 141 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [18:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [18:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [18:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [19:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [19:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [19:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [19:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [19:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [19:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 25/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 25/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [20:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 25/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 25/12/2009] id: Family Communication el: 0 cu: MICU cg: -1 v1: Fam Talked to MD st: NotStopd t0: [20:00:00 25/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 25/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [20:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 25/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 25/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [20:00:00 25/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 25/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 25/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 25/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [20:00:00 25/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 25/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 25/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [20:00:00 25/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 25/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 25/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 25/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 25/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [20:00:00 25/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 25/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 25/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 25/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [20:00:00 25/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 25/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 25/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Venti Mask st: NotStopd t0: [20:00:00 25/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 25/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 25/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 25/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 25/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [20:00:00 25/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 25/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [20:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 25/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [20:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [20:00:00 25/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 25/12/2009] id: Significant Events el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 25/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 25/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [20:00:00 25/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 25/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [20:00:00 25/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:00:00 25/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [20:00:00 25/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 25/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [20:00:00 25/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 25/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 25/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 25/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [20:00:00 25/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 25/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 25/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 25/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [20:00:00 25/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [20:00:00 25/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 13 u1: number st: NotStopd t0: [20:00:00 25/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 25/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [20:00:00 25/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [20:00:00 25/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [20:00:00 25/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [20:00:00 25/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [17:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 5 vu: ml t0: [17:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [17:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [18:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 5 vu: ml t0: [18:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [18:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [19:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 5 vu: ml t0: [19:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [19:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [20:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 5 vu: ml t0: [20:00:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [20:00:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [17:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
tf: [10:00:00 28/12/2009] pt: Unit Dose rt: IV fr: X1:PRN m1: Atropine Sulfate f1: SYR v1: 0.5 u1: mg
t0: [21:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd
t0: [21:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [22:30:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [22:30:00 25/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Abnormal >3 secs st: NotStopd t0: [22:30:00 25/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [22:30:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:30:00 25/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:30:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:30:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:30:00 25/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [22:30:00 25/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [22:30:00 25/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [22:30:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [22:30:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:30:00 25/12/2009] id: Heart Sounds el: 0 cu: MICU cg: -1 v1: Other st: NotStopd t0: [22:30:00 25/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [22:30:00 25/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [22:30:00 25/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [22:30:00 25/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [22:30:00 25/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [22:30:00 25/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [22:30:00 25/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [22:30:00 25/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [22:30:00 25/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [22:30:00 25/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [22:30:00 25/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [22:30:00 25/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [22:30:00 25/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:30:00 25/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:30:00 25/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [22:30:00 25/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [22:30:00 25/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [22:30:00 25/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Voice st: NotStopd t0: [22:30:00 25/12/2009] tf: [17:39:00 31/12/2009] dt: 8349 id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [22:30:00 25/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [22:30:00 25/12/2009] tf: [17:39:00 31/12/2009] dt: 8349 id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [22:30:00 25/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:30:00 25/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [22:30:00 25/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [22:30:00 25/12/2009] tf: [17:39:00 31/12/2009] dt: 8349 id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [22:30:00 25/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:30:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [22:30:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [22:30:00 25/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [22:30:00 25/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:30:00 25/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:30:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:30:00 25/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [22:30:00 25/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [22:30:00 25/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [22:30:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [22:30:00 25/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:30:00 25/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:30:00 25/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [22:30:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [22:30:00 25/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [22:30:00 25/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [22:30:00 25/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [22:30:00 25/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [22:30:00 25/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [22:30:00 25/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:30:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:30:00 25/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [22:30:00 25/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [22:30:00 25/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [22:30:00 25/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [22:30:00 25/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [22:30:00 25/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [22:30:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 0 vu: ml t0: [22:30:00 25/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [22:30:00 25/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 31.25 vu: ml t0: [22:30:00 25/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 360 vu: ml
t0: [22:30:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/12/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 360 cv: 360 ap: none t0: [23:00:00 25/12/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 360 cv: 950 ap: none t0: [23:00:00 25/12/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 360 cv: 1010 ap: none
t0: [22:45:00 25/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Abnormal >3 secs st: NotStopd t0: [22:45:00 25/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [22:45:00 25/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:45:00 25/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [22:45:00 25/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [22:45:00 25/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [22:45:00 25/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:45:00 25/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [22:45:00 25/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [22:45:00 25/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [21:00:00 25/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vu: ml st: Stopped
id: D5/.45NS el: 1 cu: MICU cg: -1 io: D5/.45NS IV Infusions du: ml rt: Intravenous Push
t0: [23:00:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [23:00:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [23:00:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [23:00:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [00:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [00:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [00:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 25/12/2009] tf: [01:00:00 26/12/2009] dt: 120 id: D5/.45NS IV Infusions el: 1 cu: MICU cg: -1 ai: 112 vo: 75 vu: ml nb: 1 t0: [00:00:00 26/12/2009] id: D5/.45NS IV Infusions el: 1 cu: MICU cg: -1 ai: 112 vo: 75 vu: ml t0: [00:00:00 26/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [00:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 18.75 vu: ml nb: 1 t0: [00:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 120 vu: ml
t0: [23:00:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/12/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -243.75 cv: -243.75 ap: none t0: [23:00:00 25/12/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 116.25 cv: 1218.45 ap: none t0: [23:00:00 25/12/2009] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 116.25 cv: 1663.45 ap: none t0: [23:00:00 25/12/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -243.75 cv: 653.45 ap: none t0: [23:00:00 25/12/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -243.75 cv: 2382.95 ap: carryForward t0: [23:00:00 26/12/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: 1663 pv: 12.5 cv: 631.25 ap: none t0: [23:00:00 26/12/2009] dt: 24 id: 24h Total In el: 2 cu: MICU cg: 1663 pv: 12.5 cv: 661.25 ap: none
t0: [20:00:00 25/12/2009] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 25/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [22:00:00 25/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [22:00:00 25/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 25/12/2009] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [22:00:00 25/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 25/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [22:00:00 25/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [22:00:00 25/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Scant st: NotStopd t0: [00:00:00 26/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 26/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Abnormal >3 secs st: NotStopd t0: [00:00:00 26/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [00:00:00 26/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [00:00:00 26/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 26/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 26/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 26/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 26/12/2009] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 26/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 26/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [00:00:00 26/12/2009] id: Heart Sounds el: 0 cu: MICU cg: -1 v1: Other st: NotStopd t0: [00:00:00 26/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 26/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [00:00:00 26/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 26/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 26/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 26/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [00:00:00 26/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 26/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [00:00:00 26/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [00:00:00 26/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 26/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 26/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 26/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 26/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 26/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 26/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 26/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 26/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 26/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [00:00:00 26/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [00:00:00 26/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 26/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 26/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [00:00:00 26/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 26/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 26/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Venti Mask st: NotStopd t0: [00:00:00 26/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [00:00:00 26/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 26/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 26/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 26/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [00:00:00 26/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 26/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 26/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [00:00:00 26/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 26/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 26/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 26/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 26/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [00:00:00 26/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 26/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 26/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 26/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [00:00:00 26/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Scant st: NotStopd t0: [00:00:00 26/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [00:00:00 26/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [00:00:00 26/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [00:00:00 26/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [00:00:00 26/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [00:00:00 26/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 26/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 26/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 26/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 26/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [00:00:00 26/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 26/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 26/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [00:00:00 26/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [00:00:00 26/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [00:00:00 26/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 13 u1: number st: NotStopd t0: [00:00:00 26/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [00:00:00 26/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [00:00:00 26/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [00:00:00 26/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [00:00:00 26/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [00:00:00 26/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [22:45:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [22:45:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:45:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:45:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:45:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [22:45:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:45:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [22:45:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [22:45:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:45:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [22:45:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [22:45:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 25/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Abnormal >3 secs st: NotStopd t0: [23:00:00 25/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:00:00 25/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [23:00:00 25/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [23:00:00 25/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [23:00:00 25/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:15:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [23:15:00 25/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Abnormal >3 secs st: NotStopd t0: [23:15:00 25/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [23:15:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:15:00 25/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:15:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:15:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:15:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 59 u1: BPM st: NotStopd t0: [23:15:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:15:00 25/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [23:15:00 25/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [23:15:00 25/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [23:15:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:15:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [23:15:00 25/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:15:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:15:00 25/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [23:15:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [23:15:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [23:15:00 25/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [23:15:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:15:00 25/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd t0: [23:45:00 25/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [23:45:00 25/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Abnormal >3 secs st: NotStopd t0: [23:45:00 25/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [23:45:00 25/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:45:00 25/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:45:00 25/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:45:00 25/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:45:00 25/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [23:45:00 25/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:45:00 25/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [23:45:00 25/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [23:45:00 25/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [23:45:00 25/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:45:00 25/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [23:45:00 25/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:45:00 25/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:45:00 25/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [23:45:00 25/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [23:45:00 25/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [23:45:00 25/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [23:45:00 25/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:45:00 25/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd t0: [00:30:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CCU st: NotStopd t0: [00:30:00 26/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Abnormal >3 secs st: NotStopd t0: [00:30:00 26/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [00:30:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:30:00 26/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:30:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:30:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:30:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 59 u1: BPM st: NotStopd t0: [00:30:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:30:00 26/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [00:30:00 26/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [00:30:00 26/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [00:30:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:30:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [00:30:00 26/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:30:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:30:00 26/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [00:30:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [00:30:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [00:30:00 26/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:30:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:30:00 26/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [00:00:00 26/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: -1 vo: 15 vu: ml t0: [01:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [22:45:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:45:00 25/12/2009] tf: [17:39:00 31/12/2009] dt: 8334 id: Nitroglycerine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:45:00 25/12/2009] tf: [17:39:00 31/12/2009] dt: 8334 id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:15:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:15:00 25/12/2009] id: Nitroglycerine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:15:00 25/12/2009] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:45:00 25/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:45:00 25/12/2009] id: Nitroglycerine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:45:00 25/12/2009] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 26/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 26/12/2009] id: Nitroglycerine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 26/12/2009] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CCU st: NotStopd t0: [01:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 59 u1: BPM st: NotStopd t0: [01:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [01:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [01:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [01:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [01:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 26/12/2009] id: D5/.45NS IV Infusions el: 1 cu: MICU cg: -1 ai: 112 vo: 75 vu: ml st: Stopped t0: [01:00:00 26/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 0 vu: ml t0: [01:00:00 26/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [01:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [01:00:00 26/12/2009] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: -1 ai: 199 vo: 0 vu: ml
t0: [01:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 26/12/2009] id: Nitroglycerine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 26/12/2009] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 26/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: -1 v1: 192 rs: Manual st: NotStopd
t0: [01:00:00 26/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [01:00:00 26/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [01:00:00 26/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [01:00:00 26/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [01:00:00 26/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [01:00:00 26/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [01:00:00 26/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [01:00:00 26/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [01:00:00 26/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [01:00:00 26/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd t0: [02:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 26/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [02:00:00 26/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [02:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 26/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [02:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 50 u1: BPM st: NotStopd t0: [02:00:00 26/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [02:00:00 26/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [02:00:00 26/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [02:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 26/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [02:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 26/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [02:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [02:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 26/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [02:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 26/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [00:00:00 26/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 0 vu: ml st: Stopped t0: [01:00:00 26/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vu: ml t0: [02:00:00 26/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 0 vu: ml t0: [02:00:00 26/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [02:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [02:00:00 26/12/2009] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: -1 ai: 199 vo: 0 vu: ml t0: [02:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml
t0: [02:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 26/12/2009] id: Nitroglycerine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 26/12/2009] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:17:00 26/12/2009] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.34 rs: Final st: NotStopd t0: [04:17:00 26/12/2009] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:17:00 26/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:17:00 26/12/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 52 u1: mmHg rs: Final st: NotStopd t0: [04:17:00 26/12/2009] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 85 u1: mmHg rs: Final st: NotStopd t0: [04:17:00 26/12/2009] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.34 rs: Final st: NotStopd t0: [04:17:00 26/12/2009] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31 u1: % rs: Final st: NotStopd t0: [04:17:00 26/12/2009] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.16 rs: Final st: NotStopd t0: [04:17:00 26/12/2009] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 96 u1: % rs: Final st: NotStopd
t0: [03:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 26/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [03:00:00 26/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [03:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 26/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [03:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 54 u1: BPM st: NotStopd t0: [03:00:00 26/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [03:00:00 26/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [03:00:00 26/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [03:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [03:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [03:00:00 26/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [03:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 26/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [03:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [03:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [03:00:00 26/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [03:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 26/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd t0: [04:00:00 26/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 26/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [04:00:00 26/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [04:00:00 26/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [04:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 26/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 26/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 26/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 26/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 26/12/2009] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.35 u1: torr st: NotStopd t0: [04:00:00 26/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 55 u1: BPM st: NotStopd t0: [04:00:00 26/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 26/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 26/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 26/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [04:00:00 26/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 26/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 26/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [04:00:00 26/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 26/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 26/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [04:00:00 26/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 26/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 26/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [04:00:00 26/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 26/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 26/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [04:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 26/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [04:00:00 26/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 26/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 26/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 26/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [04:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [04:00:00 26/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 26/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 26/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [04:00:00 26/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Scant st: NotStopd t0: [04:00:00 26/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [04:00:00 26/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 26/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 26/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 26/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [04:00:00 26/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 26/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 26/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [04:00:00 26/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [04:00:00 26/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [04:00:00 26/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 12 u1: number st: NotStopd t0: [04:00:00 26/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [04:00:00 26/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [04:00:00 26/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [04:00:00 26/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [04:00:00 26/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [04:00:00 26/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [02:00:00 26/12/2009] tf: [09:00:00 29/12/2009] dt: 4740 id: D5/.45NS IV Infusions el: 1 cu: MICU cg: -1 ai: 112 vo: 75 vu: ml t0: [03:00:00 26/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 0 vu: ml t0: [03:00:00 26/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [03:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [03:00:00 26/12/2009] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: -1 ai: 199 vo: 0 vu: ml t0: [03:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 35 vu: ml t0: [04:00:00 26/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 0 vu: ml t0: [04:00:00 26/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [04:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [04:00:00 26/12/2009] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: -1 ai: 199 vo: 0 vu: ml t0: [04:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 70 vu: ml t0: [05:00:00 26/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 0 vu: ml t0: [05:00:00 26/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [05:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [05:00:00 26/12/2009] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: -1 ai: 199 vo: 0 vu: ml t0: [05:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml
t0: [03:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 26/12/2009] id: Nitroglycerine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 26/12/2009] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 26/12/2009] id: Nitroglycerine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 26/12/2009] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:05:00 26/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 132 rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [04:05:00 26/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 29.1 rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.9 u1: % rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.5 u1: gm/dl rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 990 rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.33 u1: /mic l rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 29.1 rs: Final st: NotStopd t0: [04:17:00 26/12/2009] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 12.4843 u1: ml/dl st: NotStopd
t0: [20:15:00 25/12/2009] id: CPK Enzymes el: 0 cu: MICU cg: 1663 v1: 112 rs: Final st: NotStopd
t0: [20:15:00 25/12/2009] id: CPK/MB Enzymes el: 0 cu: MICU cg: 1663 v1: 20 rs: Final st: NotStopd
t0: [04:00:00 26/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [04:00:00 26/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [04:00:00 26/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [05:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 55 u1: BPM st: NotStopd t0: [05:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [05:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [05:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [05:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 26/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: -1 v1: 130 rs: Manual st: NotStopd
t0: [05:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 26/12/2009] id: Nitroglycerine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 26/12/2009] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:05:00 26/12/2009] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 23 rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:05:00 26/12/2009] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 63 rs: Final st: NotStopd
t0: [20:15:00 25/12/2009] id: Troponin Enzymes el: 0 cu: MICU cg: 1663 v1: 18.5 rs: Final st: NotStopd
t0: [01:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [02:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [03:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [04:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [05:00:00 26/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [05:00:00 26/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [05:00:00 26/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [05:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [05:00:00 26/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [05:00:00 26/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [05:00:00 26/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [05:00:00 26/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [05:00:00 26/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [05:00:00 26/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [05:00:00 26/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd t0: [06:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 26/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [06:00:00 26/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [06:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 26/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 58 u1: BPM st: NotStopd t0: [06:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [06:00:00 26/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [06:00:00 26/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [06:00:00 26/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [06:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [06:00:00 26/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 26/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [06:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [06:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [06:00:00 26/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [06:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 26/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [06:00:00 26/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 0 vu: ml t0: [06:00:00 26/12/2009] tf: [01:00:00 27/12/2009] dt: 1140 id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [06:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [06:00:00 26/12/2009] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: -1 ai: 199 vo: 0 vu: ml t0: [06:00:00 26/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [06:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml
t0: [06:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 26/12/2009] id: Nitroglycerine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 26/12/2009] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:05:00 26/12/2009] id: Troponin Enzymes el: 0 cu: MICU cg: 1663 v1: 9.7 rs: Final st: NotStopd
t0: [07:00:00 26/12/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [07:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 26/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 26/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [08:00:00 26/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: RN v1: Left Posterior st: NotStopd t0: [08:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 26/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 26/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 26/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 26/12/2009] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [08:00:00 26/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 26/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 61 u1: BPM st: NotStopd t0: [08:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 26/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 26/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 28 st: NotStopd t0: [08:00:00 26/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 26/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 26/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 30 st: NotStopd t0: [08:00:00 26/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 26/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 26/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [08:00:00 26/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 26/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 26/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 26/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 26/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 26/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 26/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 26/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 26/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 26/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 26/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 26/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 26/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 26/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 26/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 26/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [08:00:00 26/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 12 u1: lpm st: NotStopd t0: [08:00:00 26/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 26/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 26/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 26/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 26/12/2009] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [08:00:00 26/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 26/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 26/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 26/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [08:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:00:00 26/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 26/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 26/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [08:00:00 26/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 26/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 26/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 26/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 26/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 26/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 26/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 26/12/2009] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 26/12/2009] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 26/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 26/12/2009] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 26/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 26/12/2009] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 26/12/2009] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 26/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 26/12/2009] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 26/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 26/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [08:00:00 26/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: RN v1: Straw st: NotStopd t0: [08:00:00 26/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 26/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 26/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: RN v1: 20 cm st: NotStopd
t0: [08:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 25 vu: ml t0: [08:00:00 26/12/2009] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: RN ai: 199 vo: 0 vu: ml t0: [08:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [08:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 26/12/2009] id: Nitroglycerine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 26/12/2009] id: Neosynephrine-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:01:00 26/12/2009] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: -1 ai: 199 vo: 0 st: D/C'd
t0: [09:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 51 u1: BPM st: NotStopd t0: [09:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [09:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [09:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [09:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [09:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: SC fr: Q12H fs: 10, 22 dn: 2 m1: Enoxaparin Sodium f1: SYR v1: 60 u1: mg
t0: [10:00:00 26/12/2009] id: bath el: 0 cu: MICU cg: RN v1: done t0: [10:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 26/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [10:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 26/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 26/12/2009] tf: [17:39:00 31/12/2009] dt: 7659 id: OOB TO CHAIR el: 0 cu: MICU cg: RN v1: DONE t0: [10:00:00 26/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 55 u1: BPM st: NotStopd t0: [10:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [10:00:00 26/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Chair st: NotStopd t0: [10:00:00 26/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 26/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 26/12/2009] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 26/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [10:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [10:00:00 26/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 26/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [10:00:00 26/12/2009] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 26/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [10:00:00 26/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v2: Small st: NotStopd t0: [10:00:00 26/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 26/12/2009] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 26/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: RN vu: ml t0: [10:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [10:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [10:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 57 u1: BPM st: NotStopd t0: [11:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [11:00:00 26/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [11:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [11:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [11:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [11:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [11:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 26/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT v1: ALB st: NotStopd
t0: [08:00:00 26/12/2009] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 26/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 26/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [12:00:00 26/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: RN v1: Left Posterior st: NotStopd t0: [12:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 26/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 26/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 26/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 26/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 57 u1: BPM st: NotStopd t0: [12:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [12:00:00 26/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 26/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 28 st: NotStopd t0: [12:00:00 26/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 26/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 26/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 30 st: NotStopd t0: [12:00:00 26/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 26/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [12:00:00 26/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [12:00:00 26/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 26/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 26/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 26/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 26/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 26/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 26/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [12:00:00 26/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 26/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 26/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [12:00:00 26/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 26/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 26/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [12:00:00 26/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 12 u1: lpm st: NotStopd t0: [12:00:00 26/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 26/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 26/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [12:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [12:00:00 26/12/2009] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [12:00:00 26/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 26/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 26/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 26/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [12:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 26/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 26/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 26/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [12:00:00 26/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 26/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [12:00:00 26/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [12:00:00 26/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 26/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 26/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 26/12/2009] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 26/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [12:00:00 26/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [12:00:00 26/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: RN v1: Straw st: NotStopd t0: [12:00:00 26/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 26/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 26/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: RN v1: 20 cm st: NotStopd
t0: [12:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [12:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [12:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 26/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 151 rs: Manual st: NotStopd t0: [13:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [13:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [13:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [13:00:00 26/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Rectal st: NotStopd t0: [13:00:00 26/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [13:00:00 26/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.4 u1: Deg. F st: NotStopd t0: [13:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 26/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [13:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 26/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 26/12/2009] id: OOB TO CHAIR el: 0 cu: MICU cg: RN t0: [13:00:00 26/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 26/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 26/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 26/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 26/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 26/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [13:00:00 26/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 26/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd
t0: [13:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [13:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [13:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 26/12/2009] id: OOB TO CHAIR el: 0 cu: MICU cg: RN t0: [14:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 63 u1: BPM st: NotStopd t0: [14:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 148 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [14:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [14:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [14:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [14:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [14:18:00 26/12/2009] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [14:18:00 26/12/2009] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [14:18:00 26/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [14:18:00 26/12/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [14:18:00 26/12/2009] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [14:18:00 26/12/2009] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [10:00:00 26/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: RN vu: ml t0: [14:00:00 26/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: RN vo: 10 vu: ml
t0: [15:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 26/12/2009] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [15:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 56 u1: BPM st: NotStopd t0: [15:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 26/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [15:00:00 26/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 12 u1: lpm st: NotStopd t0: [15:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [15:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [15:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [15:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [15:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [15:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 26/12/2009] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 26/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 26/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [16:00:00 26/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: RN v1: Left Posterior st: NotStopd t0: [16:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 26/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 26/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 26/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 26/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 59 u1: BPM st: NotStopd t0: [16:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [16:00:00 26/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 26/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 28 st: NotStopd t0: [16:00:00 26/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 26/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 26/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 30 st: NotStopd t0: [16:00:00 26/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 26/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [16:00:00 26/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [16:00:00 26/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 26/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 26/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 26/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 26/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 26/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 26/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 26/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 26/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 26/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [16:00:00 26/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 26/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 26/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 26/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 26/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [16:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [16:00:00 26/12/2009] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [16:00:00 26/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 26/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 26/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 26/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [16:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [16:00:00 26/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 26/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 26/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [16:00:00 26/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 26/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 26/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 26/12/2009] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 26/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 26/12/2009] id: Braden Activity el: 0 cu: MICU cg: RN v1: Chairfast st: NotStopd t0: [16:00:00 26/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 26/12/2009] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 26/12/2009] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 26/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 26/12/2009] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 26/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 26/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [16:00:00 26/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: RN v1: Straw st: NotStopd t0: [16:00:00 26/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 26/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 26/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: RN v1: 20 cm st: NotStopd
t0: [16:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [16:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [16:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd
t0: [12:00:00 26/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 26/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 26/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 26/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 26/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [17:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 26/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 26/12/2009] id: OOB TO CHAIR el: 0 cu: MICU cg: RN t0: [17:00:00 26/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 61 u1: BPM st: NotStopd t0: [17:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 26/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 26/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 26/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 26/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [17:00:00 26/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 26/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 26/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Rectal st: NotStopd t0: [17:00:00 26/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [17:00:00 26/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [17:00:00 26/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [17:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [17:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [18:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [18:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [18:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [18:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 26/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 116 rs: Manual st: NotStopd
t0: [18:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [18:00:00 26/12/2009] tf: [18:00:00 27/12/2009] dt: 1440 id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: RN vo: 5 vu: ml t0: [18:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [18:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 26/12/2009] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU cg: 1663 cv: 20 ap: none
t0: [19:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [19:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 140 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [19:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [19:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [19:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 26/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [20:00:00 26/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 26/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [20:00:00 26/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 26/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [20:00:00 26/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [20:00:00 26/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [20:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 26/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 26/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 26/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 26/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 26/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 26/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [20:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 26/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 26/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [20:00:00 26/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 26/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 26/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 26/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [20:00:00 26/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 26/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 26/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [20:00:00 26/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 26/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 26/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 26/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 26/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 26/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 26/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 26/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 26/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 26/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [20:00:00 26/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [20:00:00 26/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 26/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 26/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 26/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 26/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [20:00:00 26/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [20:00:00 26/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 26/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 26/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 26/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [20:00:00 26/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 142 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 26/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [20:00:00 26/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 2-Mild st: NotStopd t0: [20:00:00 26/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Chest Pain st: NotStopd t0: [20:00:00 26/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [20:00:00 26/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 26/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 26/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [20:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 26/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [20:00:00 26/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 26/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [20:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [20:00:00 26/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 26/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 26/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 92 u1: % st: NotStopd t0: [20:00:00 26/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [20:00:00 26/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [20:00:00 26/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [20:00:00 26/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.3333 u1: Deg. C st: NotStopd t0: [20:00:00 26/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.2 u1: Deg. F st: NotStopd t0: [20:00:00 26/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [20:00:00 26/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 26/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 26/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 26/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 26/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 26/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [20:00:00 26/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [20:00:00 26/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 26/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 26/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [20:00:00 26/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [20:00:00 26/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 14 u1: number st: NotStopd t0: [20:00:00 26/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 26/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [20:00:00 26/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [20:00:00 26/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [20:00:00 26/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [20:00:00 26/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [19:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [19:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml t0: [20:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [20:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [19:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [21:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 140 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [21:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [21:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [21:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [21:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 340 vu: ml
t0: [21:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [22:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 142 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [22:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [22:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [22:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [22:15:00 26/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT v1: ALBUT st: NotStopd t0: [22:15:00 26/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Nasal Cannula st: NotStopd t0: [22:15:00 26/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 2 u1: lpm st: NotStopd
t0: [23:00:00 26/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 26/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 26/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 26/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 26/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [23:00:00 26/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 26/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 26/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [23:00:00 26/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 26/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [23:00:00 26/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 91 u1: % st: NotStopd t0: [23:00:00 26/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [23:00:00 26/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.7222 u1: Deg. C st: NotStopd t0: [23:00:00 26/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.1 u1: Deg. F st: NotStopd t0: [23:00:00 26/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [22:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml
t0: [23:00:00 26/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 26/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [23:00:00 26/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [23:00:00 26/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [23:00:00 26/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [23:00:00 26/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 26/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [23:00:00 26/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [23:00:00 26/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [23:00:00 26/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [23:00:00 26/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [23:00:00 26/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [23:00:00 26/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [23:00:00 26/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [23:00:00 26/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 26/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [23:00:00 26/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [23:00:00 26/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [23:00:00 26/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [23:00:00 26/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [23:00:00 26/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [23:00:00 26/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [23:00:00 26/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [23:00:00 26/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [23:00:00 26/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [23:00:00 26/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 26/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [23:00:00 26/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 26/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [23:00:00 26/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [23:00:00 26/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [23:00:00 26/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [23:00:00 26/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [23:00:00 26/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 26/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [23:00:00 26/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [23:00:00 26/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [23:00:00 26/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 26/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 26/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [23:00:00 26/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [23:00:00 26/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 26/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [23:00:00 26/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [23:00:00 26/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [23:00:00 26/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [23:00:00 26/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [23:00:00 26/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [23:00:00 26/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [23:00:00 26/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 26/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [23:00:00 26/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [23:00:00 26/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [23:00:00 26/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [23:00:00 26/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [23:00:00 26/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [23:00:00 26/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [23:00:00 26/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 26/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [23:00:00 26/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [23:00:00 26/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [23:00:00 26/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [23:00:00 26/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [23:00:00 26/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [23:00:00 26/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [23:00:00 26/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [23:00:00 26/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [23:00:00 26/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [23:00:00 26/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [23:00:00 26/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [23:00:00 26/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [23:00:00 26/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [00:00:00 27/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 27/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [00:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 140 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 27/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [00:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [00:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [00:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 26/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [23:00:00 26/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [23:00:00 26/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 50 vu: ml t0: [00:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [00:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 50 vu: ml
t0: [00:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 26/12/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: 1663 pv: 50 cv: 50 ap: none t0: [23:00:00 26/12/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: 1663 pv: -37.5 cv: -37.5 ap: none t0: [23:00:00 26/12/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: 1663 pv: 50 cv: 2220 ap: none t0: [23:00:00 26/12/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: 1663 pv: -37.5 cv: -1578.75 ap: none t0: [23:00:00 26/12/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: 1663 pv: 50 cv: 2240 ap: none t0: [23:00:00 26/12/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: 1663 pv: -37.5 cv: 804.2 ap: carryForward t0: [23:00:00 27/12/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 270 cv: 270 ap: none t0: [23:00:00 27/12/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -257.5 cv: -257.5 ap: none t0: [23:00:00 27/12/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 12.5 cv: 550 ap: none t0: [23:00:00 27/12/2009] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 12.5 cv: 560 ap: none t0: [23:00:00 27/12/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 260 cv: 2195 ap: none t0: [23:00:00 27/12/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -257.5 cv: -1645 ap: carryForward t0: [23:00:00 27/12/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 270 cv: 2205 ap: carryForward t0: [23:00:00 27/12/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -257.5 cv: -840.8 ap: carryForward
t0: [01:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [01:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 143 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [01:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [01:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [01:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [01:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [02:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [02:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [02:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 27/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [01:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [01:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 120 vu: ml t0: [02:00:00 27/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [02:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [02:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 120 vu: ml
t0: [01:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 27/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 27/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 27/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [02:00:00 27/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [03:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 57 u1: BPM st: NotStopd t0: [03:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [03:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [03:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [03:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [03:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 27/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 27/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [04:00:00 27/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [04:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 27/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 27/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 27/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 27/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 27/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [04:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 27/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 27/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [04:00:00 27/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 27/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 27/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 27/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [04:00:00 27/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 27/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [04:00:00 27/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [04:00:00 27/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 27/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 27/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 27/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 27/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 27/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 27/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 27/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 27/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 27/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 27/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 27/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [04:00:00 27/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 27/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 27/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [04:00:00 27/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [04:00:00 27/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 27/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 27/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 27/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [04:00:00 27/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 148 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 27/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [04:00:00 27/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 27/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 27/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [04:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 27/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [04:00:00 27/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 27/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [04:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [04:00:00 27/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 27/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 27/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [04:00:00 27/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 27/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 27/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 27/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 27/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 27/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 27/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [04:00:00 27/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [04:00:00 27/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 27/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [04:00:00 27/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [04:00:00 27/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [04:00:00 27/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [04:00:00 27/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [04:00:00 27/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [04:00:00 27/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [04:00:00 27/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [04:00:00 27/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [04:00:00 27/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [03:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [03:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml t0: [04:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [04:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml t0: [05:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [05:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [03:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [04:30:00 27/12/2009] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29.5 u1: % rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 988 rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.2 u1: /mic l rs: Final st: NotStopd
t0: [05:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [05:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 147 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [05:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [05:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [05:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [05:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [04:30:00 27/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.7 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [04:30:00 27/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 23.5 rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 23.5 rs: Final st: NotStopd
t0: [04:30:00 27/12/2009] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:30:00 27/12/2009] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 58 rs: Final st: NotStopd
t0: [06:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [06:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 145 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [06:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [06:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [06:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [06:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 27/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [05:00:00 27/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 35.4444 u1: Deg. C st: NotStopd t0: [05:00:00 27/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 95.8 u1: Deg. F st: NotStopd t0: [06:00:00 27/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [06:00:00 27/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 27/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 27/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 27/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 27/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 27/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [06:00:00 27/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [06:00:00 27/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 27/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 27/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [06:00:00 27/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [06:00:00 27/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 27/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [06:00:00 27/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Scant st: NotStopd t0: [06:00:00 27/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [06:00:00 27/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [06:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 80 vu: ml
t0: [07:00:00 27/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [07:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 27/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 63 u1: BPM st: NotStopd t0: [07:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [07:00:00 27/12/2009] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [07:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [07:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [07:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 27/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [08:00:00 27/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: RN v1: Left Posterior st: NotStopd t0: [08:00:00 27/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 27/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 27/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 27/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 27/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 27/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 28 st: NotStopd t0: [08:00:00 27/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 27/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 30 st: NotStopd t0: [08:00:00 27/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 27/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [08:00:00 27/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 27/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 27/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 27/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 27/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 27/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 27/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 27/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 27/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 27/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 27/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 27/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 27/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 27/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 27/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 27/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd t0: [08:00:00 27/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 27/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 27/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 27/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 27/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 27/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 27/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 27/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 27/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 27/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [08:00:00 27/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 27/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 27/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [08:00:00 27/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 27/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 27/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 27/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 27/12/2009] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 27/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 27/12/2009] id: Braden Activity el: 0 cu: MICU cg: RN v1: Chairfast st: NotStopd t0: [08:00:00 27/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 27/12/2009] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 27/12/2009] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 27/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 27/12/2009] id: Braden Score el: 0 cu: MICU cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 27/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 27/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [08:00:00 27/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: RN v1: Straw st: NotStopd t0: [08:00:00 27/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 27/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 27/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: RN v1: 20 cm st: NotStopd
t0: [07:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [07:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [07:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 54 u1: BPM st: NotStopd t0: [08:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [08:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [08:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [08:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [08:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [08:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [08:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 27/12/2009] id: bath el: 0 cu: MICU cg: RN v1: done t0: [09:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 27/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [09:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 27/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 27/12/2009] id: OOB TO CHAIR el: 0 cu: MICU cg: RN v1: up t0: [09:00:00 27/12/2009] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [09:00:00 27/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 55 u1: BPM st: NotStopd t0: [09:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [09:00:00 27/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Chair st: NotStopd t0: [09:00:00 27/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 27/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 27/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [09:00:00 27/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 12 u1: lpm st: NotStopd t0: [09:00:00 27/12/2009] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 27/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [09:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [09:00:00 27/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [09:00:00 27/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [09:00:00 27/12/2009] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 27/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Rectal st: NotStopd t0: [09:00:00 27/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [09:00:00 27/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [09:00:00 27/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 27/12/2009] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [09:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [09:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 27/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [09:00:00 27/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Moderate st: NotStopd t0: [10:00:00 27/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:00:00 27/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd
t0: [10:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 56 u1: BPM st: NotStopd t0: [10:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [10:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [10:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [10:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [10:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 27/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 58 u1: BPM st: NotStopd t0: [11:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [11:00:00 27/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [11:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [11:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [11:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 27/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 27/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [12:00:00 27/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: RN v1: Left Posterior st: NotStopd t0: [12:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 27/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 27/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 27/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 27/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 59 u1: BPM st: NotStopd t0: [12:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [12:00:00 27/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 27/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 28 st: NotStopd t0: [12:00:00 27/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 27/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 27/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 30 st: NotStopd t0: [12:00:00 27/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [12:00:00 27/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [12:00:00 27/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 27/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 27/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 27/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 27/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 27/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 27/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 27/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 27/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 27/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [12:00:00 27/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 27/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 27/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 27/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd t0: [12:00:00 27/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 27/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 27/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [12:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 27/12/2009] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [12:00:00 27/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 27/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 27/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 27/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [12:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 27/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 27/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [12:00:00 27/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [12:00:00 27/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 27/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 27/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 27/12/2009] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 27/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [12:00:00 27/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [12:00:00 27/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: RN v1: Straw st: NotStopd t0: [12:00:00 27/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 27/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 27/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: RN v1: 20 cm st: NotStopd
t0: [12:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [12:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [12:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 27/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 154 rs: Manual st: NotStopd
t0: [12:00:00 27/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [12:00:00 27/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 27/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Rectal st: NotStopd t0: [12:00:00 27/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [12:00:00 27/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.4 u1: Deg. F st: NotStopd
t0: [12:00:00 27/12/2009] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Edema/Swelling st: NotStopd t0: [12:00:00 27/12/2009] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 27/12/2009] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [12:00:00 27/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Arm, Right Lower st: NotStopd
t0: [13:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 60 u1: BPM st: NotStopd t0: [13:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [13:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [13:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [13:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [13:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 61 u1: BPM st: NotStopd t0: [14:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [14:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [14:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 55 vu: ml
t0: [14:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 27/12/2009] id: OOB TO CHAIR el: 0 cu: MICU cg: RN t0: [12:00:00 27/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 27/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 27/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 27/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 27/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 27/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 27/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [13:00:00 27/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 27/12/2009] id: OOB TO CHAIR el: 0 cu: MICU cg: RN t0: [14:00:00 27/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [14:00:00 27/12/2009] id: Procedures el: 0 cu: MICU cg: RN st: NotStopd
t0: [15:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 58 u1: BPM st: NotStopd t0: [15:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [15:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [15:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [15:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [15:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [15:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [15:34:00 27/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT v1: alb st: NotStopd
t0: [09:00:00 27/12/2009] id: Previous Weight el: 0 cu: MICU cg: RN v1: 67 u1: kg st: NotStopd t0: [09:00:00 27/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67 u1: kg st: NotStopd t0: [09:00:00 27/12/2009] id: Weight Change el: 0 cu: MICU cg: RN v1: 0 u1: kg st: NotStopd t0: [09:00:00 27/12/2009] id: Daily Weight el: 0 cu: MICU cg: RN v1: 67 u1: kg st: NotStopd t0: [10:00:00 27/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67 u1: kg st: NotStopd t0: [11:00:00 27/12/2009] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [11:00:00 27/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67 u1: kg st: NotStopd t0: [12:00:00 27/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67 u1: kg st: NotStopd t0: [13:00:00 27/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67 u1: kg st: NotStopd t0: [14:00:00 27/12/2009] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [14:00:00 27/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67 u1: kg st: NotStopd t0: [15:00:00 27/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 27/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67 u1: kg st: NotStopd t0: [16:00:00 27/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 27/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [16:00:00 27/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [16:00:00 27/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: RN v1: Left Posterior st: NotStopd t0: [16:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 27/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 27/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 27/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 27/12/2009] id: OOB TO CHAIR el: 0 cu: MICU cg: RN t0: [16:00:00 27/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 27/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 62 u1: BPM st: NotStopd t0: [16:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 27/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 27/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 28 st: NotStopd t0: [16:00:00 27/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 27/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 27/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 30 st: NotStopd t0: [16:00:00 27/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 27/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [16:00:00 27/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 11 v2: 1 st: NotStopd t0: [16:00:00 27/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 27/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 27/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 27/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 27/12/2009] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [16:00:00 27/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Arm, Right Lower st: NotStopd t0: [16:00:00 27/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 27/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 27/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 27/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 27/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 27/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 27/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [16:00:00 27/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 27/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 27/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 27/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd t0: [16:00:00 27/12/2009] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 27/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 27/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [16:00:00 27/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:00:00 27/12/2009] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [16:00:00 27/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 27/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 27/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 27/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67 u1: kg st: NotStopd t0: [16:00:00 27/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 27/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 27/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [16:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 27/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 27/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 27/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [16:00:00 27/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Rectal st: NotStopd t0: [16:00:00 27/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [16:00:00 27/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [16:00:00 27/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 27/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 27/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 27/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 27/12/2009] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 27/12/2009] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 27/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 27/12/2009] id: Braden Activity el: 0 cu: MICU cg: RN v1: Chairfast st: NotStopd t0: [16:00:00 27/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 27/12/2009] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 27/12/2009] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 27/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 27/12/2009] id: Braden Score el: 0 cu: MICU cg: RN v1: 15 u1: number st: NotStopd t0: [16:00:00 27/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 27/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [16:00:00 27/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: RN v1: Straw st: NotStopd t0: [16:00:00 27/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 27/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 27/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: RN v1: 20 cm st: NotStopd
t0: [16:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [16:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [16:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [17:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [17:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 27/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67 u1: kg st: NotStopd t0: [17:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [17:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [17:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [18:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [18:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [18:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 27/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67 u1: kg st: NotStopd t0: [18:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 27/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 139 rs: Manual st: NotStopd
t0: [18:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [18:00:00 27/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [18:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [18:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [19:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 152 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [19:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 27/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [19:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [19:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 27/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [20:00:00 27/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [20:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 27/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 27/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 27/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 27/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 27/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [20:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 27/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 27/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [20:00:00 27/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 27/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 27/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 27/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [20:00:00 27/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 27/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 27/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [20:00:00 27/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 27/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 27/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 27/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 27/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 27/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [20:00:00 27/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 27/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 27/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 27/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [20:00:00 27/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 27/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 27/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 27/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 27/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [20:00:00 27/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [20:00:00 27/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 27/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 27/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 27/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [20:00:00 27/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 27/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [20:00:00 27/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 27/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [20:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 27/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [20:00:00 27/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [20:00:00 27/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [20:00:00 27/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [20:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [20:00:00 27/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 27/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 27/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [20:00:00 27/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thin st: NotStopd t0: [20:00:00 27/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 27/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 27/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [20:00:00 27/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [20:00:00 27/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [20:00:00 27/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 27/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 27/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 27/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 27/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [20:00:00 27/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [20:00:00 27/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 27/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 27/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [20:00:00 27/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [20:00:00 27/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [20:00:00 27/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 27/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [20:00:00 27/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [20:00:00 27/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [20:00:00 27/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [20:00:00 27/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [19:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [19:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 50 vu: ml t0: [20:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [20:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 70 vu: ml
t0: [19:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 59 u1: BPM st: NotStopd t0: [21:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 149 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [21:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [21:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 27/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [21:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [21:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [22:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 141 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [22:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 27/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [22:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [22:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [21:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 150 vu: ml t0: [22:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [22:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 150 vu: ml
t0: [21:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 27/12/2009] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Called st: NotStopd t0: [21:00:00 27/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [23:00:00 27/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [23:00:00 27/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 27/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [23:00:00 27/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 27/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [23:00:00 27/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 27/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 27/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [23:00:00 27/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [23:00:00 27/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [23:00:00 27/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [23:00:00 27/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 27/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [23:00:00 27/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [23:00:00 27/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [23:00:00 27/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [23:00:00 27/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [23:00:00 27/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 27/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [23:00:00 27/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Exp Wheeze st: NotStopd t0: [23:00:00 27/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Exp Wheeze st: NotStopd t0: [23:00:00 27/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [23:00:00 27/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 27/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 27/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 27/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [23:00:00 27/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [23:00:00 27/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 27/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 27/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [23:00:00 27/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [23:00:00 27/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [23:00:00 27/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [23:00:00 27/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 27/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [23:00:00 27/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Exp Wheeze st: NotStopd t0: [23:00:00 27/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Exp Wheeze st: NotStopd t0: [23:00:00 27/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [23:00:00 27/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [23:00:00 27/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [23:00:00 27/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 27/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [23:00:00 27/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [23:00:00 27/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [23:00:00 27/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.9444 u1: Deg. C st: NotStopd t0: [23:00:00 27/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.5 u1: Deg. F st: NotStopd t0: [23:00:00 27/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [23:00:00 27/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [23:00:00 27/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [23:00:00 27/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [23:00:00 27/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 27/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 27/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [23:00:00 27/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [23:00:00 27/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [23:00:00 27/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [23:00:00 27/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [23:00:00 27/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [23:00:00 27/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [23:00:00 27/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 13 u1: number st: NotStopd t0: [23:00:00 27/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [23:00:00 27/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [23:00:00 27/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [23:00:00 27/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [23:00:00 27/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [23:00:00 27/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [23:00:00 27/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [23:00:00 27/12/2009] tf: [19:00:00 28/12/2009] dt: 1200 id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [23:00:00 27/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 260 vu: ml
t0: [23:00:00 27/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/12/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: -1 cv: 0 ap: carryForward t0: [23:00:00 27/12/2009] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU cg: -1 pv: 10 cv: 10 ap: none
t0: [00:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [00:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 155 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [00:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [00:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [00:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 28/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [00:00:00 28/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [01:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [01:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [01:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [01:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [01:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [01:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 28/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [01:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 160 vu: ml
t0: [01:00:00 28/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [02:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 145 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [02:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [02:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [02:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [02:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 28/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [02:00:00 28/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 120 vu: ml
t0: [00:00:00 28/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 28/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [00:00:00 28/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 28/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 28/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 28/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [00:00:00 28/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 28/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [00:00:00 28/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [00:00:00 28/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 28/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [01:00:00 28/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [03:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 28/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [03:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 28/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [03:00:00 28/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [03:00:00 28/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [03:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 59 u1: BPM st: NotStopd t0: [03:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 28/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [03:00:00 28/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [03:00:00 28/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [03:00:00 28/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [03:00:00 28/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 28/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [03:00:00 28/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [03:00:00 28/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [03:00:00 28/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [03:00:00 28/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [03:00:00 28/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [03:00:00 28/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [03:00:00 28/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [03:00:00 28/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [03:00:00 28/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [03:00:00 28/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [03:00:00 28/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 28/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [03:00:00 28/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [03:00:00 28/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [03:00:00 28/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [03:00:00 28/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 28/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [03:00:00 28/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 28/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [03:00:00 28/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [03:00:00 28/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 133 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [03:00:00 28/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [03:00:00 28/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [03:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [03:00:00 28/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [03:00:00 28/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [03:00:00 28/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [03:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [03:00:00 28/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [03:00:00 28/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [03:00:00 28/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [03:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 90 u1: % st: NotStopd t0: [03:00:00 28/12/2009] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Soft st: NotStopd t0: [03:00:00 28/12/2009] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Positive st: NotStopd t0: [03:00:00 28/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [03:00:00 28/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [03:00:00 28/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [03:00:00 28/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [03:00:00 28/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [03:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 28/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [03:00:00 28/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [03:00:00 28/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [03:00:00 28/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [03:00:00 28/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [03:00:00 28/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [03:00:00 28/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [03:00:00 28/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [03:00:00 28/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [03:00:00 28/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [03:00:00 28/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [03:00:00 28/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [03:00:00 28/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [03:00:00 28/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [03:00:00 28/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [03:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 120 vu: ml
t0: [03:00:00 28/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [03:20:00 28/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT v1: albut st: NotStopd t0: [03:20:00 28/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Nasal Cannula st: NotStopd t0: [03:20:00 28/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 2 u1: lpm st: NotStopd
t0: [04:00:00 28/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 28/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [04:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 28/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [04:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [04:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 28/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 28/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 35.5 u1: Deg. C st: NotStopd t0: [04:00:00 28/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 95.9 u1: Deg. F st: NotStopd t0: [04:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 28/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [04:00:00 28/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [05:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [05:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [05:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [05:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 58 u1: BPM st: NotStopd t0: [06:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [06:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [06:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 52 u1: mmHg st: NotStopd t0: [06:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [06:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [06:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [06:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml t0: [05:00:00 28/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [05:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 50 vu: ml t0: [06:00:00 28/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [06:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 50 vu: ml
t0: [05:00:00 28/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 28/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [05:30:00 28/12/2009] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31.5 u1: % rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.6 u1: gm/dl rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.41 u1: /mic l rs: Final st: NotStopd
t0: [05:30:00 28/12/2009] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 1205 rs: Final st: NotStopd
t0: [05:30:00 28/12/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.1 rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 32.7 rs: Final st: NotStopd
t0: [22:00:00 27/12/2009] tf: [17:39:00 31/12/2009] dt: 5499 id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [06:00:00 28/12/2009] id: Chest tube flush Free Form Intake el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [06:00:00 28/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: -1 vo: 22 vu: ml
t0: [05:30:00 28/12/2009] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 14 rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 70 rs: Final st: NotStopd
t0: [05:30:00 28/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 24.5 rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 24.5 rs: Final st: NotStopd
t0: [05:30:00 28/12/2009] tf: [17:39:00 31/12/2009] dt: 5049 id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.7 rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.3 u1: mg/dl rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 99 rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.4 u1: mEq/L rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd
id: Carrier el: 1 cu: MICU cg: -1 io: Carrier IV Infusions du: ml rt: Intravenous Push
t0: [07:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [07:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [07:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [07:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [07:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [07:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 28/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 28/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [08:00:00 28/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [08:00:00 28/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd
t0: [07:00:00 28/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 28/12/2009] tf: [09:00:00 29/12/2009] dt: 1560 id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 10 vu: ml t0: [07:00:00 28/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [08:00:00 28/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 10 vu: ml t0: [08:00:00 28/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [08:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 50 vu: ml
t0: [08:00:00 28/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [08:00:00 28/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 28/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 28/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 28/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 28/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 28/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [08:00:00 28/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [08:00:00 28/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 28/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 28/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Potassium Chloride f1: BAG v1: 20 u1: mEq m2: SW f2: INJ v2: 50 u2: ml tf: [00:00:00 10/01/2010] pt: Unit Dose rt: SC fr: Q12H fs: 8, 20 dn: 2 m1: Enoxaparin Sodium f1: SYR v1: 60 u1: mg
t0: [07:00:00 28/12/2009] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [08:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 59 u1: BPM st: NotStopd t0: [08:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [08:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [08:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [08:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [08:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 28/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 28/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [08:00:00 28/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 28/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 28/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 28/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 28/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 28/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 28/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 28/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 28/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 28/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 28/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [08:00:00 28/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 28/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd
t0: [05:30:00 28/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: -1 v1: 149 rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: -1 v1: 1.8 rs: Final st: NotStopd t0: [05:30:00 28/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: -1 v1: 3.3 rs: Final st: NotStopd
t0: [08:00:00 28/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 28/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 28/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [08:00:00 28/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 28/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 28/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [08:00:00 28/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: Ecchymotic st: NotStopd t0: [08:00:00 28/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 28/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [08:00:00 28/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 28/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 28/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [08:00:00 28/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 28/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 28/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 28/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 28/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [08:28:00 28/12/2009] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [08:28:00 28/12/2009] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [08:28:00 28/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 37 rs: Final st: NotStopd t0: [08:28:00 28/12/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [08:28:00 28/12/2009] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 81 u1: mmHg rs: Final st: NotStopd t0: [08:28:00 28/12/2009] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [08:28:00 28/12/2009] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 0.99 rs: Final st: NotStopd t0: [08:28:00 28/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 rs: Final st: NotStopd
t0: [09:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [09:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [09:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [09:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [09:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [09:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 28/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [09:00:00 28/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 35.6667 u1: Deg. C st: NotStopd t0: [09:00:00 28/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 96.2 u1: Deg. F st: NotStopd t0: [09:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 28/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 28/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd
t0: [09:00:00 28/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 10 vu: ml t0: [09:00:00 28/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [09:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 290 vu: ml
t0: [08:00:00 28/12/2009] id: SaO2 ABG's el: 0 cu: MICU cg: -1 v1: 100 u1: % rs: Manual st: NotStopd t0: [08:28:00 28/12/2009] id: CaO2 el: 0 cu: MICU cg: -1 v1: 13.1151 u1: ml/dl st: NotStopd
t0: [10:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 57 u1: BPM st: NotStopd t0: [10:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [10:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [10:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [10:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [10:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 28/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 28/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [10:00:00 28/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd
t0: [10:00:00 28/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 10 vu: ml t0: [10:00:00 28/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [09:00:00 28/12/2009] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [09:00:00 28/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 28/12/2009] id: Family Communication el: 0 cu: MICU cg: -1 v1: Fam Talked to RN st: NotStopd t0: [10:00:00 28/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [10:00:00 28/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [10:00:00 28/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 28/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [10:00:00 28/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 28/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [10:00:00 28/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [10:00:00 28/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [10:00:00 28/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [10:00:00 28/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [10:00:00 28/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [10:00:00 28/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 13 u1: number st: NotStopd t0: [10:00:00 28/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [10:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 200 vu: ml
tf: [15:00:00 01/01/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Levothyroxine Sodium f1: TAB v1: 75 u1: mcg
t0: [10:00:00 28/12/2009] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd
t0: [11:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [11:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [11:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [11:00:00 28/12/2009] id: Procedures el: 0 cu: MICU cg: -1 v1: EKG st: NotStopd t0: [11:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [11:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 28/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 10 vu: ml t0: [11:00:00 28/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
t0: [11:00:00 28/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 28/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [11:00:00 28/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 28/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [11:00:00 28/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [11:00:00 28/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 28/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [11:00:00 28/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 28/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: SC fr: Q12H fs: 11, 23 dn: 2 m1: Enoxaparin Sodium f1: SYR v1: 60 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: TP fr: ONCE fs: 11 dn: 1 m1: Benzocaine 20% Spray f1: SPR v1: 1 u1: SPRY
t0: [11:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [12:00:00 28/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 28/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [12:00:00 28/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [12:00:00 28/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 28/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 28/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 28/12/2009] id: Heart Sounds el: 0 cu: MICU cg: -1 v1: s2 st: NotStopd t0: [12:00:00 28/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 28/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 28/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 28/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Dozing Intermit st: NotStopd t0: [12:00:00 28/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [12:00:00 28/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 28/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 28/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 28/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [12:00:00 28/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 28/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 28/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 28/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 28/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [12:00:00 28/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [12:00:00 28/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 28/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 28/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [12:00:00 28/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [12:00:00 28/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [12:00:00 28/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [12:00:00 28/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [12:00:00 28/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [12:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [12:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [12:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [12:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 28/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 28/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 10 vu: ml t0: [12:00:00 28/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [12:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [11:28:00 28/12/2009] id: CPK Enzymes el: 0 cu: MICU cg: 1663 v1: 54 rs: Final st: NotStopd t0: [11:28:00 28/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 134 rs: Final st: NotStopd
t0: [13:00:00 28/12/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [11:28:00 28/12/2009] id: Troponin Enzymes el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd
t0: [13:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [13:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 133 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [13:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [13:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [13:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 28/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [13:00:00 28/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 35.7778 u1: Deg. C st: NotStopd t0: [13:00:00 28/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 96.4 u1: Deg. F st: NotStopd t0: [13:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 28/12/2009] id: Amiodarone el: 2 cu: MICU so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [11:28:00 28/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: -1 v1: 3.2 rs: Final st: NotStopd
t0: [13:00:00 28/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 15 vu: ml t0: [13:00:00 28/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: -1 vo: 25 vu: ml t0: [13:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [23:00:00 28/12/2009] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU cg: -1 cv: 47 ap: none
id: Promote w/fiber el: 1 cu: MICU cg: -1 io: Promote w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube id: TF Residual el: 1 cu: MICU cg: -1 io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [14:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 57 u1: BPM st: NotStopd t0: [14:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [14:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [14:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [14:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [14:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 28/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 15 vu: ml t0: [14:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml
t0: [13:00:00 28/12/2009] tf: [17:39:00 31/12/2009] dt: 4599 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 10 vu: ml t0: [14:00:00 28/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 10 vu: ml
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Amiodarone HCl f1: TAB v1: 400 u1: mg
t0: [15:00:00 28/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [15:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 28/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 59 u1: BPM st: NotStopd t0: [15:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [15:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [15:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [15:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [15:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [15:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [15:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:00:00 28/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [17:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 28/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [17:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [17:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 134 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [17:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [17:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [17:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [17:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 28/12/2009] id: Procedures el: 0 cu: MICU cg: -1 v1: Chest Tube D/C st: NotStopd t0: [19:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 28/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [19:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [19:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [19:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [19:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [19:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [19:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 28/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 15 vu: ml t0: [15:00:00 28/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: -1 ai: 128 vo: 0 vu: ml t0: [15:00:00 28/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 10 vu: ml t0: [15:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 35 vu: ml t0: [16:00:00 28/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 10 vu: ml t0: [17:00:00 28/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 30 vu: ml t0: [17:00:00 28/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 10 vu: ml t0: [17:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 65 vu: ml t0: [18:00:00 28/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: -1 ai: 128 vo: 0 vu: ml t0: [18:00:00 28/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 10 vu: ml t0: [18:00:00 28/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: -1 vu: ml t0: [19:00:00 28/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 30 vu: ml t0: [19:00:00 28/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 20 vu: ml t0: [19:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 55 vu: ml
t0: [19:00:00 28/12/2009] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU cg: -1 vo: 0 st: D/C'd
t0: [16:00:00 28/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [16:00:00 28/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [16:00:00 28/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 28/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 28/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 28/12/2009] id: Heart Sounds el: 0 cu: MICU cg: -1 v1: s2 st: NotStopd t0: [16:00:00 28/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 28/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Absent st: NotStopd t0: [16:00:00 28/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 28/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Lethargic st: NotStopd t0: [16:00:00 28/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry st: NotStopd t0: [16:00:00 28/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 28/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Oral Ulcers st: NotStopd t0: [16:00:00 28/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 28/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [16:00:00 28/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 28/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 28/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 28/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [16:00:00 28/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 28/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 28/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 28/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [16:00:00 28/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [16:00:00 28/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 v1: Straw st: NotStopd t0: [16:00:00 28/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [16:00:00 28/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [16:00:00 28/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd t0: [18:00:00 28/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [18:00:00 28/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 28/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 28/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 28/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 28/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 28/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [18:00:00 28/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [19:00:00 28/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 28/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [19:00:00 28/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Absent st: NotStopd t0: [19:00:00 28/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [19:00:00 28/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [19:00:00 28/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [19:00:00 28/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: At Rest st: NotStopd t0: [19:00:00 28/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Abdominal st: NotStopd t0: [19:00:00 28/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: Repositioned st: NotStopd t0: [19:00:00 28/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Burning st: NotStopd t0: [19:00:00 28/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [19:00:00 28/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [19:00:00 28/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [19:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 89 u1: % st: NotStopd t0: [19:00:00 28/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 145 rs: Manual st: NotStopd t0: [19:00:00 28/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [19:05:00 28/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [19:05:00 28/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 4 u1: lpm st: NotStopd t0: [19:05:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd
t0: [18:52:00 28/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [18:52:00 28/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd
t0: [22:00:00 28/12/2009] id: CT #1 Drainage el: 0 cu: MICU cg: -1 st: D/C'd t0: [22:00:00 28/12/2009] id: CT #1 Fluctuate/Leak el: 0 cu: MICU cg: -1 st: D/C'd t0: [22:00:00 28/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 st: D/C'd
t0: [20:00:00 28/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 28/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [20:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 28/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [20:00:00 28/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [20:00:00 28/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [20:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 28/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 28/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 28/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 28/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [20:00:00 28/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 14 u1: points st: NotStopd t0: [20:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [20:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 28/12/2009] id: Heart Sounds el: 0 cu: MICU cg: -1 st: NotStopd t0: [20:00:00 28/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 28/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 28/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 28/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Lethargic st: NotStopd t0: [20:00:00 28/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry st: NotStopd t0: [20:00:00 28/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 28/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [20:00:00 28/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 60.6667 u1: mmHg st: NotStopd t0: [20:00:00 28/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [20:00:00 28/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 4 u1: lpm st: NotStopd t0: [20:00:00 28/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 28/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [20:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 94 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [20:00:00 28/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 st: NotStopd t0: [20:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [20:00:00 28/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [20:00:00 28/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 28/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 28/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [20:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [20:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 28/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 st: NotStopd t0: [20:00:00 28/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 28/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 28/12/2009] id: CT #1 Suction Amount el: 0 cu: MICU cg: -1 v1: 20 cm st: NotStopd
t0: [20:00:00 28/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 15 vu: ml t0: [20:00:00 28/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: -1 ai: 128 vo: 0 vu: ml t0: [20:00:00 28/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 20 vu: ml t0: [20:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml t0: [21:00:00 28/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 15 vu: ml t0: [21:00:00 28/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 20 vu: ml t0: [21:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml
t0: [23:00:00 28/12/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 750 cv: 750 ap: none t0: [23:00:00 28/12/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -715 cv: -715 ap: none t0: [23:00:00 28/12/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 15 cv: 1097.5 ap: none t0: [23:00:00 28/12/2009] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 35 cv: 1267.5 ap: none t0: [23:00:00 28/12/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 pv: 20 cv: 160 ap: none t0: [23:00:00 28/12/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 750 cv: 2990 ap: none t0: [23:00:00 28/12/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -715 cv: -1769.5 ap: none t0: [23:00:00 28/12/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 750 cv: 3037 ap: none t0: [23:00:00 28/12/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -715 cv: -2610.3 ap: carryForward
t0: [20:00:00 28/12/2009] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [20:00:00 28/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [20:00:00 28/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 28/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [20:00:00 28/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 28/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [20:00:00 28/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 28/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [20:00:00 28/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [20:00:00 28/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 28/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 28/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [20:00:00 28/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v2: Intact st: NotStopd t0: [20:00:00 28/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [20:00:00 28/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 28/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Oral Ulcers st: NotStopd t0: [20:00:00 28/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 28/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 28/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [20:00:00 28/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 28/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 28/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 28/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [20:00:00 28/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [20:00:00 28/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 28/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 28/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [20:00:00 28/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 28/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 28/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 28/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 28/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [20:00:00 28/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 11 u1: number st: NotStopd t0: [20:00:00 28/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 28/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [20:00:00 28/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd
t0: [21:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 28/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [21:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [21:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [21:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [21:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [21:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [21:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 28/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [22:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [22:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [22:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [22:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [22:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [22:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [22:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 29/12/2009] id: bath el: 0 cu: MICU cg: -1 t0: [00:00:00 29/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [00:00:00 29/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [00:00:00 29/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 29/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 29/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 29/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 29/12/2009] id: Heart Sounds el: 0 cu: MICU cg: -1 st: NotStopd t0: [00:00:00 29/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [00:00:00 29/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [00:00:00 29/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 29/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [00:00:00 29/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [00:00:00 29/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [00:00:00 29/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [00:00:00 29/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 29/12/2009] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 st: NotStopd t0: [00:00:00 29/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [00:00:00 29/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip st: NotStopd t0: [00:00:00 29/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 29/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [00:00:00 29/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 29/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 29/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 29/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v2: Clean and Dry st: NotStopd t0: [00:00:00 29/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 29/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 29/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Oral Ulcers st: NotStopd t0: [00:00:00 29/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 29/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [00:00:00 29/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 st: NotStopd t0: [00:00:00 29/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 29/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 29/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 29/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [00:00:00 29/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 29/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 29/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 29/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [00:00:00 29/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 29/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 29/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 29/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 29/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [00:00:00 29/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [00:00:00 29/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd
t0: [22:00:00 28/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 15 vu: ml t0: [22:00:00 28/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 20 vu: ml t0: [22:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 700 vu: ml t0: [23:00:00 28/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 15 vu: ml t0: [23:00:00 28/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 20 vu: ml t0: [23:00:00 28/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 750 vu: ml t0: [00:00:00 29/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 15 vu: ml t0: [00:00:00 29/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: -1 ai: 128 vo: 0 vu: ml t0: [00:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 30 vu: ml t0: [00:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 500 vu: ml t0: [01:00:00 29/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 15 vu: ml t0: [01:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 30 vu: ml t0: [01:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 80 vu: ml
t0: [23:00:00 28/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 28/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 28/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [23:00:00 28/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 28/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 28/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [23:00:00 28/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 28/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [23:00:00 28/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [23:00:00 28/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [23:00:00 28/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [23:00:00 28/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 28/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [00:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 29/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [00:00:00 29/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 67.3333 u1: mmHg st: NotStopd t0: [00:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [00:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 29/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [00:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 36 u1: BPM st: NotStopd t0: [00:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [00:00:00 29/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [00:00:00 29/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [00:00:00 29/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [00:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [01:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [01:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 29/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [01:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [01:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [01:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 58 u1: BPM st: NotStopd t0: [02:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [02:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [02:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [02:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 29/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [02:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [02:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [02:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 29/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 15 vu: ml t0: [02:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 30 vu: ml t0: [02:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 175 vu: ml
t0: [00:00:00 29/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [01:00:00 29/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [02:00:00 29/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [02:00:00 29/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [03:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 29/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [03:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [03:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [03:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [03:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 29/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [03:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [03:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [03:00:00 29/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [03:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 29/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 st: NotStopd t0: [04:00:00 29/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [04:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 29/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [04:00:00 29/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [04:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 29/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [04:00:00 29/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 29/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 29/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [04:00:00 29/12/2009] id: Heart Sounds el: 0 cu: MICU cg: -1 st: NotStopd t0: [04:00:00 29/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Brachial st: NotStopd t0: [04:00:00 29/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [04:00:00 29/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 29/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [04:00:00 29/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [04:00:00 29/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [04:00:00 29/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [04:00:00 29/12/2009] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 st: NotStopd t0: [04:00:00 29/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [04:00:00 29/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip st: NotStopd t0: [04:00:00 29/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 29/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 29/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 29/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 29/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 29/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 29/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Oral Ulcers st: NotStopd t0: [04:00:00 29/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 29/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [04:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [04:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [04:00:00 29/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 29/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [04:00:00 29/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 29/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 29/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [04:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [04:00:00 29/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 29/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [04:00:00 29/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [04:00:00 29/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 29/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 29/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 29/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [04:00:00 29/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [04:00:00 29/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [05:00:00 29/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd
t0: [03:00:00 29/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 15 vu: ml t0: [03:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 30 vu: ml t0: [03:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml t0: [04:00:00 29/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 15 vu: ml t0: [04:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 30 vu: ml t0: [04:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 35 vu: ml t0: [05:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [05:36:00 29/12/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:36:00 29/12/2009] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [05:36:00 29/12/2009] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 28.5 rs: Final st: NotStopd
t0: [06:00:00 29/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 167 rs: Manual st: NotStopd
t0: [05:36:00 29/12/2009] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.7 rs: Final st: NotStopd t0: [05:36:00 29/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [05:36:00 29/12/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [05:36:00 29/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [05:36:00 29/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [05:36:00 29/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [05:36:00 29/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 164 rs: Final st: NotStopd t0: [05:36:00 29/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:36:00 29/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [05:36:00 29/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd t0: [05:56:00 29/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 22.4 rs: Final st: NotStopd t0: [05:56:00 29/12/2009] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31.7 u1: % rs: Final st: NotStopd t0: [05:56:00 29/12/2009] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.7 u1: gm/dl rs: Final st: NotStopd t0: [05:56:00 29/12/2009] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 1343 rs: Final st: NotStopd t0: [05:56:00 29/12/2009] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.42 u1: /mic l rs: Final st: NotStopd t0: [05:56:00 29/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 22.4 rs: Final st: NotStopd
t0: [04:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [05:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [05:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 147 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [05:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 29/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [05:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [05:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 29/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [07:00:00 29/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd
t0: [05:00:00 29/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 15 vu: ml t0: [05:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 30 vu: ml t0: [06:00:00 29/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 15 vu: ml t0: [06:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 30 vu: ml t0: [06:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml t0: [07:00:00 29/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 15 vu: ml t0: [07:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [07:30:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [07:30:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:30:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:30:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:30:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [07:30:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:30:00 29/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd t0: [07:30:00 29/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [07:30:00 29/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [07:30:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [07:30:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [07:30:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:30:00 29/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [07:30:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [07:30:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:30:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:30:00 29/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [07:30:00 29/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.3889 u1: Deg. C st: NotStopd t0: [07:30:00 29/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.5 u1: Deg. F st: NotStopd
t0: [07:46:00 29/12/2009] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [07:46:00 29/12/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 u1: mmHg rs: Final st: NotStopd t0: [07:46:00 29/12/2009] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 u1: mmHg rs: Final st: NotStopd t0: [07:46:00 29/12/2009] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [07:46:00 29/12/2009] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.02 rs: Final st: NotStopd
t0: [08:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 29/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [08:00:00 29/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [08:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 29/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [08:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 29/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 29/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [08:00:00 29/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 29/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 29/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 29/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [08:00:00 29/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 29/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 29/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [08:00:00 29/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 29/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 29/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 29/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [08:00:00 29/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip st: NotStopd t0: [08:00:00 29/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 29/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 29/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 29/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 29/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 29/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 29/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [08:00:00 29/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 69.3333 u1: mmHg st: NotStopd t0: [08:00:00 29/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 29/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [08:00:00 29/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [08:00:00 29/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Oral Ulcers st: NotStopd t0: [08:00:00 29/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [08:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [08:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [08:00:00 29/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 29/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [08:00:00 29/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 29/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 29/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [08:00:00 29/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 29/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 29/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [08:00:00 29/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 29/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 35.8333 u1: Deg. C st: NotStopd t0: [08:00:00 29/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 96.5 u1: Deg. F st: NotStopd t0: [08:00:00 29/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 29/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 29/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 29/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 29/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 29/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 29/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 29/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 29/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 29/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 29/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 14 u1: number st: NotStopd t0: [08:00:00 29/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: No Impairment st: NotStopd t0: [08:00:00 29/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [08:00:00 29/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd
t0: [07:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 30 vu: ml t0: [08:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 30 vu: ml t0: [08:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 120 vu: ml
t0: [09:00:00 29/12/2009] id: D5/.45NS IV Infusions el: 1 cu: MICU cg: -1 ai: 112 vo: 0 st: D/C'd t0: [09:00:00 29/12/2009] id: D5/.45NS 10000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 113 vo: 0 st: D/C'd t0: [09:00:00 29/12/2009] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: -1 ai: -1 vo: 0 st: D/C'd t0: [09:00:00 29/12/2009] id: Urine Out Void el: 1 cu: MICU cg: -1 vo: 0 st: D/C'd
id: .9% Normal Saline el: 2 cu: MICU cg: -1 io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [08:00:00 29/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 29/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [09:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [09:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 29/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [09:00:00 29/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 74.3333 u1: mmHg st: NotStopd t0: [09:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 138 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [09:00:00 29/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [09:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [09:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 29/12/2009] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 67 u1: kg st: NotStopd t0: [09:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [09:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 29/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 5 vu: ml t0: [09:00:00 29/12/2009] id: Carrier IV Infusions el: 1 cu: MICU cg: -1 ai: 111 vo: 0 vu: ml t0: [09:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 40 vu: ml t0: [09:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 80 vu: ml
t0: [08:00:00 29/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: -1 ai: 128 vo: 0 vu: ml
t0: [09:00:00 29/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: -1 v1: alb/atr st: NotStopd
t0: [08:00:00 29/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 29/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [08:00:00 29/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 29/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [09:00:00 29/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [09:00:00 29/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 29/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [09:00:00 29/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 29/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [09:00:00 29/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 29/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 29/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [09:00:00 29/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 29/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: None st: NotStopd t0: [09:00:00 29/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd
tf: [16:00:00 29/12/2009] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Lorazepam f1: SYR v1: 0.5 u1: mg tf: [07:00:00 30/12/2009] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [10:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [10:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 57 u1: BPM st: NotStopd t0: [10:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [10:00:00 29/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [10:00:00 29/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 62.6667 u1: mmHg st: NotStopd t0: [10:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [10:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [10:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [10:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [11:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 59 u1: BPM st: NotStopd t0: [11:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [11:00:00 29/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [11:00:00 29/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 62.6667 u1: mmHg st: NotStopd t0: [11:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [11:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [11:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [11:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 40 vu: ml t0: [10:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 120 vu: ml t0: [11:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 40 vu: ml t0: [11:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 180 vu: ml
t0: [08:00:00 29/12/2009] id: bath el: 0 cu: MICU cg: -1 v1: done t0: [08:00:00 29/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 29/12/2009] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [08:00:00 29/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 14 u1: points st: NotStopd t0: [08:00:00 29/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 29/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 29/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 29/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [09:00:00 29/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd t0: [10:00:00 29/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [10:00:00 29/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd t0: [11:00:00 29/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [11:00:00 29/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [11:00:00 29/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd t0: [12:00:00 29/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 29/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [12:00:00 29/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [12:00:00 29/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [12:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 29/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 29/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 29/12/2009] id: OOB TO CHAIR el: 0 cu: MICU cg: -1 v1: done t0: [12:00:00 29/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 59 u1: BPM st: NotStopd t0: [12:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [12:00:00 29/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 29/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [12:00:00 29/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 29/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 29/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [12:00:00 29/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [12:00:00 29/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [12:00:00 29/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [12:00:00 29/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 29/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Chair st: NotStopd t0: [12:00:00 29/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [12:00:00 29/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [12:00:00 29/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 29/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 29/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 29/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [12:00:00 29/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 29/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [12:00:00 29/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 54.3333 u1: mmHg st: NotStopd t0: [12:00:00 29/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [12:00:00 29/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [12:00:00 29/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Oral Ulcers st: NotStopd t0: [12:00:00 29/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 29/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [12:00:00 29/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [12:00:00 29/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [12:00:00 29/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 29/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 29/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 29/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 29/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 29/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 29/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 29/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: None st: NotStopd t0: [12:00:00 29/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [12:00:00 29/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 29/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 35.5556 u1: Deg. C st: NotStopd t0: [12:00:00 29/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 96 u1: Deg. F st: NotStopd t0: [12:00:00 29/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 29/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 29/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 29/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 29/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [12:00:00 29/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [12:00:00 29/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd
t0: [12:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 40 vu: ml t0: [12:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 140 vu: ml
t0: [12:00:00 29/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 110 rs: Manual st: NotStopd
t0: [13:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [13:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 29/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 29/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [13:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [13:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [13:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 40 vu: ml t0: [13:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 80 vu: ml
id: Gastric Meds el: 1 cu: MICU cg: -1 io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [14:00:00 29/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [14:00:00 29/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [14:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 29/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [14:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 29/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [14:00:00 29/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 29/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [14:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 29/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 29/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [14:00:00 29/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 29/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 142 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [14:00:00 29/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 29/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [14:00:00 29/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [14:00:00 29/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 143 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 29/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Activity st: NotStopd t0: [14:00:00 29/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [14:00:00 29/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Incisional st: NotStopd t0: [14:00:00 29/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: PO Med st: NotStopd t0: [14:00:00 29/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Intermittent st: NotStopd t0: [14:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 29/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [14:00:00 29/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [14:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 29/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: None st: NotStopd t0: [14:00:00 29/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [14:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 29/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: -1 ai: 128 vo: 0 vu: ml t0: [14:00:00 29/12/2009] tf: [17:39:00 31/12/2009] dt: 3099 id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 115 vo: 90 vu: ml t0: [14:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 40 vu: ml t0: [14:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 80 vu: ml
t0: [15:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 56 u1: BPM st: NotStopd t0: [15:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [15:00:00 29/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 133 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [15:00:00 29/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [15:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [15:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [15:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [15:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 50 vu: ml t0: [15:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [16:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 58 u1: BPM st: NotStopd t0: [16:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [16:00:00 29/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [16:00:00 29/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 86.3333 u1: mmHg st: NotStopd t0: [16:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [16:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [16:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [16:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 29/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 29/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 35.5556 u1: Deg. C st: NotStopd t0: [16:00:00 29/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 96 u1: Deg. F st: NotStopd t0: [16:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 50 vu: ml t0: [16:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [16:15:00 29/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: -1 v1: alb/atr st: NotStopd
t0: [16:00:00 29/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [16:00:00 29/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [16:00:00 29/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [16:00:00 29/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 29/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 29/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 29/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 29/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 29/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [16:00:00 29/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 29/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 29/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [16:00:00 29/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [16:00:00 29/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 11 v2: 1 st: NotStopd t0: [16:00:00 29/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 29/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 29/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 29/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [16:00:00 29/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [16:00:00 29/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 29/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 29/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 29/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 29/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [16:00:00 29/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 29/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [16:00:00 29/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [16:00:00 29/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Oral Ulcers st: NotStopd t0: [16:00:00 29/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 29/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [16:00:00 29/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 29/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [16:00:00 29/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 29/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [16:00:00 29/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 29/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 29/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 29/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 29/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 29/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [16:00:00 29/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [16:00:00 29/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [16:00:00 29/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [16:00:00 29/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 29/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 29/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 29/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [16:00:00 29/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [16:00:00 29/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [16:00:00 29/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd
t0: [17:00:00 29/12/2009] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [17:00:00 29/12/2009] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [17:00:00 29/12/2009] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd
tf: [15:00:00 01/01/2010] pt: Unit Dose rt: SL fr: PRN m1: Nitroglycerin SL f1: TAB v1: 0.3 u1: mg
t0: [16:00:00 29/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 29/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 29/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Chest Pain st: NotStopd t0: [16:00:00 29/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Intermittent st: NotStopd t0: [17:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [17:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [17:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [17:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [17:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 50 vu: ml t0: [17:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml
t0: [05:56:00 29/12/2009] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 12 rs: Final st: NotStopd t0: [05:56:00 29/12/2009] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [05:56:00 29/12/2009] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [05:56:00 29/12/2009] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 12 rs: Final st: NotStopd t0: [05:56:00 29/12/2009] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [05:56:00 29/12/2009] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 70 rs: Final st: NotStopd
t0: [18:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [18:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [18:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [18:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [18:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [18:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 29/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 112 rs: Manual st: NotStopd
t0: [18:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 50 vu: ml t0: [18:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml
t0: [19:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 61 u1: BPM st: NotStopd t0: [19:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [19:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [19:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [19:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 29/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 29/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [20:00:00 29/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [20:00:00 29/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: RN v1: Left Posterior st: NotStopd t0: [20:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 29/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 29/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/12/2009] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 29/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 29/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 29/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 29/12/2009] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 29/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 29/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 58 u1: BPM st: NotStopd t0: [20:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [20:00:00 29/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 29/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 28 st: NotStopd t0: [20:00:00 29/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 29/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 30 st: NotStopd t0: [20:00:00 29/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 29/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 29/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 29/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 29/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Arm, Right Lower st: NotStopd t0: [20:00:00 29/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v2: Intact st: NotStopd t0: [20:00:00 29/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 29/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 29/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 29/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 29/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 29/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 29/12/2009] id: NBP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [20:00:00 29/12/2009] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [20:00:00 29/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 29/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 29/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd t0: [20:00:00 29/12/2009] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Oral Ulcers st: NotStopd t0: [20:00:00 29/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 29/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [20:00:00 29/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 29/12/2009] id: Pain Location el: 0 cu: MICU cg: RN v1: Chest Pain st: NotStopd t0: [20:00:00 29/12/2009] id: Pain Type el: 0 cu: MICU cg: RN v1: Intermittent st: NotStopd t0: [20:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [20:00:00 29/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 29/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 29/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 29/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 29/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 29/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 29/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: None st: NotStopd t0: [20:00:00 29/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 29/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 29/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [20:00:00 29/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [20:00:00 29/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 29/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 29/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 29/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 29/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 29/12/2009] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 29/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 29/12/2009] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 29/12/2009] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 29/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 29/12/2009] id: Braden Score el: 0 cu: MICU cg: RN v1: 16 u1: number st: NotStopd t0: [20:00:00 29/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd t0: [20:00:00 29/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [20:00:00 29/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: RN v1: Dry and Intact st: NotStopd
t0: [20:00:00 29/12/2009] tf: [17:39:00 31/12/2009] dt: 2739 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 0 vu: ml st: Restart t0: [19:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 60 vu: ml t0: [20:00:00 29/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [20:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 60 vu: ml t0: [20:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml
t0: [20:00:00 29/12/2009] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:45:00 29/12/2009] id: Pain Level el: 0 cu: MICU cg: RN v1: 8-Severe st: NotStopd t0: [20:45:00 29/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:45:00 29/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:45:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:45:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:45:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 60 u1: BPM st: NotStopd t0: [20:45:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:45:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [20:45:00 29/12/2009] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [20:45:00 29/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 8-Severe st: NotStopd t0: [20:45:00 29/12/2009] id: Pain Location el: 0 cu: MICU cg: RN v1: Chest Pain st: NotStopd t0: [20:45:00 29/12/2009] id: Pain Type el: 0 cu: MICU cg: RN v1: Nagging st: NotStopd t0: [20:45:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [20:45:00 29/12/2009] id: Procedures el: 0 cu: MICU cg: RN v1: EKG st: NotStopd t0: [20:45:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:45:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:45:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:50:00 29/12/2009] id: Pain Management el: 1 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:55:00 29/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: RN v1: 0-None st: NotStopd t0: [20:55:00 29/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:55:00 29/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 61 u1: BPM st: NotStopd t0: [21:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 29/12/2009] id: NBP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [21:00:00 29/12/2009] id: NBP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [21:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 86 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [21:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [21:00:00 29/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [21:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 29/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [21:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 29/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 60 vu: ml t0: [21:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
tf: [07:00:00 30/12/2009] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Potassium Chloride f1: CAP v1: 20 u1: mEq tf: [15:00:00 01/01/2010] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol f1: TAB v1: 50 u1: mg tf: [15:00:00 01/01/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril f1: TAB v1: 6.25 u1: mg
t0: [22:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 62 u1: BPM st: NotStopd t0: [22:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 29/12/2009] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [22:00:00 29/12/2009] id: NBP Mean el: 0 cu: MICU cg: RN v1: 59.6667 u1: mmHg st: NotStopd t0: [22:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [22:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [22:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [22:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 29/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 29/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 115 vo: 60 vu: ml t0: [22:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 60 vu: ml t0: [22:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [23:00:00 29/12/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 150 ap: none
t0: [22:20:00 29/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [22:20:00 29/12/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [22:20:00 29/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [22:20:00 29/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [22:20:00 29/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [22:20:00 29/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 194 rs: Final st: NotStopd t0: [22:20:00 29/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [22:20:00 29/12/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.7 u1: mEq/L rs: Final st: NotStopd t0: [22:20:00 29/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [22:20:00 29/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [23:00:00 29/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 29/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 29/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 29/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 29/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 66 u1: BPM st: NotStopd t0: [23:00:00 29/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 29/12/2009] id: NBP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [23:00:00 29/12/2009] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [23:00:00 29/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [23:00:00 29/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [23:00:00 29/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 29/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [23:00:00 29/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 29/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 29/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 29/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 60 vu: ml t0: [23:00:00 29/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [23:00:00 29/12/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 160 cv: 160 ap: none t0: [23:00:00 29/12/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -95 cv: -95 ap: none t0: [23:00:00 29/12/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 5 cv: 430 ap: none t0: [23:00:00 29/12/2009] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 65 cv: 1590 ap: none t0: [23:00:00 29/12/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 60 cv: 1010 ap: none t0: [23:00:00 29/12/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 160 cv: 2165 ap: none t0: [23:00:00 29/12/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -95 cv: -575 ap: none t0: [23:00:00 29/12/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 160 cv: 2165 ap: none t0: [23:00:00 29/12/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -95 cv: -3185.3 ap: carryForward
t0: [00:00:00 30/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 30/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 30/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [00:00:00 30/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: RN v1: Left Posterior st: NotStopd t0: [00:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 30/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 30/12/2009] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 30/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 30/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 30/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 30/12/2009] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 30/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 30/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 64 u1: BPM st: NotStopd t0: [00:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 30/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 30/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 28 st: NotStopd t0: [00:00:00 30/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 30/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 30/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 30 st: NotStopd t0: [00:00:00 30/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 30/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 30/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 30/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 30/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Arm, Right Lower st: NotStopd t0: [00:00:00 30/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v2: Intact st: NotStopd t0: [00:00:00 30/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 30/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 30/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 30/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 30/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [00:00:00 30/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 30/12/2009] id: NBP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [00:00:00 30/12/2009] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [00:00:00 30/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 30/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 30/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd t0: [00:00:00 30/12/2009] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 30/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Oral Ulcers st: NotStopd t0: [00:00:00 30/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 30/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [00:00:00 30/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [00:00:00 30/12/2009] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 30/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 30/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 30/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 30/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 30/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 30/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:00:00 30/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 30/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 30/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 30/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 30/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [00:00:00 30/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [00:00:00 30/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 30/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 30/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 30/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 30/12/2009] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 30/12/2009] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd t0: [00:00:00 30/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [00:00:00 30/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: RN v1: 190 rs: Manual st: NotStopd t0: [00:00:00 30/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [00:00:00 30/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: RN v1: Dry and Intact st: NotStopd
t0: [00:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 60 vu: ml t0: [00:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [23:00:00 30/12/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 60 cv: 60 ap: none t0: [23:00:00 30/12/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: 5 cv: 5 ap: none t0: [23:00:00 30/12/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 5 cv: 270 ap: none t0: [23:00:00 30/12/2009] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 65 cv: 2075 ap: none t0: [23:00:00 30/12/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 pv: 60 cv: 1440 ap: none t0: [23:00:00 30/12/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 60 cv: 1110 ap: none t0: [23:00:00 30/12/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: 5 cv: 965 ap: none t0: [23:00:00 30/12/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 60 cv: 1110 ap: none t0: [23:00:00 30/12/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: 5 cv: -2220.3 ap: carryForward
t0: [01:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 60 u1: BPM st: NotStopd t0: [01:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 30/12/2009] id: NBP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [01:00:00 30/12/2009] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [01:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [01:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [01:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 68 u1: BPM st: NotStopd t0: [02:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 30/12/2009] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [02:00:00 30/12/2009] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [02:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [02:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [02:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 120 vu: ml t0: [02:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [03:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 57 u1: BPM st: NotStopd t0: [03:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [03:00:00 30/12/2009] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [03:00:00 30/12/2009] id: NBP Mean el: 0 cu: MICU cg: RN v1: 61.6667 u1: mmHg st: NotStopd t0: [03:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [03:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [03:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 30/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 30/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 30/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [04:00:00 30/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: RN v1: Left Posterior st: NotStopd t0: [04:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 30/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 30/12/2009] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 30/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 30/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 30/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 30/12/2009] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 30/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 54 u1: BPM st: NotStopd t0: [04:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [04:00:00 30/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 30/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 28 st: NotStopd t0: [04:00:00 30/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 30/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 30/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 30 st: NotStopd t0: [04:00:00 30/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 30/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 30/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Arm, Right Lower st: NotStopd t0: [04:00:00 30/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 30/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [04:00:00 30/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 30/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 30/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 30/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 30/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [04:00:00 30/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 30/12/2009] id: NBP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [04:00:00 30/12/2009] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62.6667 u1: mmHg st: NotStopd t0: [04:00:00 30/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 30/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 30/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd t0: [04:00:00 30/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Oral Ulcers st: NotStopd t0: [04:00:00 30/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 30/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [04:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 30/12/2009] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 30/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 30/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 30/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 30/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:00:00 30/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 30/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 30/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [04:00:00 30/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 30/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [04:00:00 30/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [04:00:00 30/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 30/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 30/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 30/12/2009] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 30/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [04:00:00 30/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 30/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: RN v1: Dry and Intact st: NotStopd
t0: [02:00:00 30/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 115 vo: 30 vu: ml t0: [04:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 120 vu: ml t0: [04:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [04:20:00 30/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 25.5 rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29.7 u1: % rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 1394 rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.21 u1: /mic l rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 25.5 rs: Final st: NotStopd
t0: [05:00:00 30/12/2009] id: bath el: 0 cu: MICU cg: RN v1: Done t0: [05:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 30/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 59 u1: BPM st: NotStopd t0: [05:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [05:00:00 30/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 30/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [05:00:00 30/12/2009] id: NBP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [05:00:00 30/12/2009] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [05:00:00 30/12/2009] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 30/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [05:00:00 30/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [05:00:00 30/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [05:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 30/12/2009] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 30/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 30/12/2009] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 30/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [05:00:00 30/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 30/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 30/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [05:00:00 30/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Small st: NotStopd
t0: [08:00:00 28/12/2009] id: Previous WeightF el: 0 cu: MICU cg: 1663 u1: kg st: NotStopd t0: [04:20:00 30/12/2009] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.7 rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 94 rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Amylase Enzymes el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 179 rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.8 rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:20:00 30/12/2009] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd
t0: [06:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [06:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 30/12/2009] id: NBP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [06:00:00 30/12/2009] id: NBP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [06:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [06:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [06:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [06:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 30/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 115 vo: 40 vu: ml t0: [06:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 120 vu: ml t0: [06:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [06:00:00 30/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: RN v1: 173 rs: Manual st: NotStopd
t0: [08:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [08:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [08:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 30/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 145 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 30/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 83.6667 u1: mmHg st: NotStopd t0: [08:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 152 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [08:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [08:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:15:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [08:15:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:15:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [08:15:00 30/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 142 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [08:15:00 30/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [08:15:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 142 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:15:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [08:15:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:15:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [08:15:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:15:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [09:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 30/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 133 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [09:00:00 30/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 70.3333 u1: mmHg st: NotStopd t0: [09:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 140 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [09:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [09:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 30/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 115 vo: 90 vu: ml t0: [08:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 120 vu: ml
t0: [10:00:00 30/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: -1 v1: alb st: NotStopd
t0: [08:00:00 30/12/2009] id: Pain Level el: 0 cu: MICU cg: -1 v1: 9-Severe-Worst st: NotStopd t0: [08:00:00 30/12/2009] id: Pain Level/Response el: 0 cu: MICU cg: -1 v1: 1-None to Mild st: NotStopd t0: [08:00:00 30/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 30/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [08:00:00 30/12/2009] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 30/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [08:00:00 30/12/2009] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [08:00:00 30/12/2009] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 9-Severe-Worst st: NotStopd t0: [08:00:00 30/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Left Chest st: NotStopd t0: [08:00:00 30/12/2009] id: Pain Management el: 1 cu: MICU cg: -1 v1: PO Med v2: Cool Cloth st: NotStopd t0: [08:00:00 30/12/2009] id: Pain Type el: 0 cu: MICU cg: -1 v1: Nagging st: NotStopd t0: [10:00:00 30/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [10:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 30/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [10:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [10:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [10:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [10:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [10:00:00 30/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 115 vo: 40 vu: ml t0: [10:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 240 vu: ml t0: [10:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml
t0: [08:00:00 30/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [08:00:00 30/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [08:00:00 30/12/2009] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 30/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 30/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 30/12/2009] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [08:00:00 30/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 30/12/2009] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 30/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding st: NotStopd t0: [08:00:00 30/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 30/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 30/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 30/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [08:00:00 30/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 30/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 30/12/2009] id: Inc Dsg/Status #1 el: 0 cu: MICU cg: -1 v1: Other/Remarks v2: Reinforced st: NotStopd t0: [08:00:00 30/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 30/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 30/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Lethargic st: NotStopd t0: [08:00:00 30/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 30/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 30/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 30/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Oral Ulcers st: NotStopd t0: [08:00:00 30/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 30/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [08:00:00 30/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 30/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 30/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:00:00 30/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 30/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 30/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 30/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 30/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 30/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Light Yellow v2: Sediment st: NotStopd t0: [08:00:00 30/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 30/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 30/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Anxious st: NotStopd t0: [08:00:00 30/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 30/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [08:00:00 30/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 30/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 30/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 30/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 30/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [08:00:00 30/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 30/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [08:00:00 30/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Changed st: NotStopd t0: [09:00:00 30/12/2009] id: bath el: 0 cu: MICU cg: -1 v1: done t0: [09:00:00 30/12/2009] id: OOB TO CHAIR el: 0 cu: MICU cg: -1 v1: done t0: [09:00:00 30/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 30/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 30/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [11:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [11:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [11:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [11:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [11:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [11:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml
t0: [12:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [12:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 30/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [12:00:00 30/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [12:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [12:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [12:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [12:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 30/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 30/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 30/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 30/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 30/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 30/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 30/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 30/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 30/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd
t0: [12:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [12:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml t0: [12:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 110 vu: ml
t0: [12:00:00 30/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: -1 v1: 186 rs: Manual st: NotStopd t0: [13:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [13:00:00 30/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [13:00:00 30/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [13:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [13:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [13:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 30/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [08:00:00 30/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.2222 u1: Deg. C st: NotStopd t0: [08:00:00 30/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99 u1: Deg. F st: NotStopd t0: [13:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [14:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [14:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 30/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [14:00:00 30/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.1667 u1: Deg. C st: NotStopd t0: [14:00:00 30/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.1 u1: Deg. F st: NotStopd t0: [14:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 120 vu: ml t0: [14:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 45 vu: ml
t0: [14:00:00 30/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 115 vo: 45 vu: ml
t0: [08:00:00 30/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [08:00:00 30/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [09:00:00 30/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 30/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [10:00:00 30/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 30/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 30/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [10:00:00 30/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Scant st: NotStopd t0: [11:00:00 30/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [11:00:00 30/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [11:00:00 30/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [12:00:00 30/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 30/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [13:00:00 30/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 30/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [14:00:00 30/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 30/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [16:00:00 30/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 30/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [16:00:00 30/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [16:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 30/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 30/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/12/2009] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 30/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 30/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 30/12/2009] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.3 u1: torr st: NotStopd t0: [16:00:00 30/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 30/12/2009] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 30/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding st: NotStopd t0: [16:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [16:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 30/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 30/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [16:00:00 30/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 30/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 30/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 30/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [16:00:00 30/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 30/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 30/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 30/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Chair st: NotStopd t0: [16:00:00 30/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 30/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [16:00:00 30/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 30/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 30/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 30/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 30/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 30/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 30/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [16:00:00 30/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 30/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [16:00:00 30/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [16:00:00 30/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 30/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Face Tent st: NotStopd t0: [16:00:00 30/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 30/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 30/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [16:00:00 30/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [16:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [16:00:00 30/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 30/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [16:00:00 30/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 30/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 30/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 30/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 30/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [16:00:00 30/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 30/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 30/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [16:00:00 30/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 30/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 30/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 30/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [16:00:00 30/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [16:00:00 30/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Chairfast st: NotStopd t0: [16:00:00 30/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 30/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 30/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 30/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Adequate st: NotStopd t0: [16:00:00 30/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 16 u1: number st: NotStopd t0: [16:00:00 30/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: No Impairment st: NotStopd t0: [16:00:00 30/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [16:00:00 30/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd
t0: [16:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 30/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 115 vo: 60 vu: ml t0: [16:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 120 vu: ml t0: [16:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 80 vu: ml
t0: [17:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 55 u1: BPM st: NotStopd t0: [17:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [17:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [17:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [17:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [17:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [17:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [17:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml t0: [17:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml
t0: [18:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 30/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 30/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 55 u1: BPM st: NotStopd t0: [18:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [18:00:00 30/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 30/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 30/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 30/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [18:00:00 30/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 52.6667 u1: mmHg st: NotStopd t0: [18:00:00 30/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [18:00:00 30/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [18:00:00 30/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [18:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [18:00:00 30/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [18:00:00 30/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [18:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [18:00:00 30/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [18:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 30/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 181 rs: Manual st: NotStopd
t0: [18:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [18:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml t0: [18:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [19:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 56 u1: BPM st: NotStopd t0: [19:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [19:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [19:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [19:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [19:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 30/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 30/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [20:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 30/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [20:00:00 30/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [20:00:00 30/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [20:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 30/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 30/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 30/12/2009] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 30/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 30/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 30/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 30/12/2009] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 30/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 30/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 30/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [20:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [20:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 30/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 30/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [20:00:00 30/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 30/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 30/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 30/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [20:00:00 30/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 30/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 30/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 30/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 30/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 30/12/2009] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 30/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [20:00:00 30/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 30/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 30/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 30/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [20:00:00 30/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 30/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 30/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 30/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 30/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 30/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [20:00:00 30/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 104.333 u1: mmHg st: NotStopd t0: [20:00:00 30/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 30/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [20:00:00 30/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [20:00:00 30/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 30/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 30/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 30/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [20:00:00 30/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 30/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [20:00:00 30/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 30/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [20:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 30/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 30/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 30/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [20:00:00 30/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 30/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 30/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 30/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 30/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Scant st: NotStopd t0: [20:00:00 30/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [20:00:00 30/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 30/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.7222 u1: Deg. C st: NotStopd t0: [20:00:00 30/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.1 u1: Deg. F st: NotStopd t0: [20:00:00 30/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 30/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 30/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 30/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 30/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 30/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [20:00:00 30/12/2009] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 30/12/2009] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 30/12/2009] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 30/12/2009] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 30/12/2009] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 30/12/2009] id: Braden Score el: 0 cu: MICU cg: -1 v1: 13 u1: number st: NotStopd t0: [20:00:00 30/12/2009] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 30/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [20:00:00 30/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd t0: [21:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 58 u1: BPM st: NotStopd t0: [21:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [21:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [21:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [21:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [21:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [21:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [19:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml t0: [19:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml t0: [20:00:00 30/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: -1 ai: 128 vo: 0 vu: ml t0: [20:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [20:00:00 30/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 115 vo: 30 vu: ml t0: [20:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml t0: [21:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml
t0: [20:00:00 30/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 30/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 30/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [22:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [22:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 30/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 30/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 30/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 30/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [22:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [22:00:00 30/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 30/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [22:00:00 30/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [22:00:00 30/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 30/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml t0: [21:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml t0: [22:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [22:00:00 30/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 115 vo: 30 vu: ml t0: [22:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml
t0: [23:00:00 30/12/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 365 ap: none
t0: [22:00:00 30/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 30/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [23:00:00 30/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 30/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 30/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 30/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 30/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [23:00:00 30/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 30/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 158 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [23:00:00 30/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [23:00:00 30/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 30/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [23:00:00 30/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [23:00:00 30/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 31/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 31/12/2009] id: bath el: 0 cu: MICU cg: -1 v1: DONE t0: [00:00:00 31/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [00:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 31/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [00:00:00 31/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [00:00:00 31/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [00:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 31/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 31/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 31/12/2009] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 31/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 31/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 31/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 31/12/2009] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 31/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 31/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 31/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [00:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [00:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 31/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 31/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [00:00:00 31/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 31/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 31/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 31/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [00:00:00 31/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 31/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 31/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 31/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 31/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 31/12/2009] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 31/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [00:00:00 31/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 31/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 31/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 31/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [00:00:00 31/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 31/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 31/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 31/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [00:00:00 31/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 31/12/2009] id: NBP el: 0 cu: MICU cg: -1 v1: 95 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [00:00:00 31/12/2009] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 52.3333 u1: mmHg st: NotStopd t0: [00:00:00 31/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 31/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [00:00:00 31/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [00:00:00 31/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 31/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 31/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 31/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [00:00:00 31/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 31/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 31/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [00:00:00 31/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 31/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [00:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 31/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 31/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 31/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 31/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 31/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 31/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 31/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 31/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Scant st: NotStopd t0: [00:00:00 31/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [00:00:00 31/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 31/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.1667 u1: Deg. C st: NotStopd t0: [00:00:00 31/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.1 u1: Deg. F st: NotStopd t0: [00:00:00 31/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [00:00:00 31/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 31/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 31/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 31/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 31/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 31/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 151 rs: Manual st: NotStopd t0: [00:00:00 31/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [00:00:00 31/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [00:00:00 31/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd
t0: [22:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml t0: [23:00:00 30/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [23:00:00 30/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml t0: [23:00:00 30/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml t0: [00:00:00 31/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: -1 ai: 128 vo: 0 vu: ml t0: [00:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml
t0: [23:00:00 31/12/2009] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 31/12/2009] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: RN cv: 190 ap: none t0: [23:00:00 31/12/2009] dt: 24 id: 24h Total In el: 2 cu: -1 cg: RN cv: 1440 ap: none t0: [23:00:00 31/12/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: -1 cg: RN cv: 1100 ap: none t0: [23:00:00 31/12/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: RN cv: 720 ap: carryForward t0: [23:00:00 31/12/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: RN cv: -1500.3 ap: carryForward
t0: [01:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [01:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 144 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [01:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [01:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 31/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [02:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [02:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 31/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 31/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 31/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 31/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [02:00:00 31/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 31/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [02:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [02:00:00 31/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 31/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [02:00:00 31/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 31/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [00:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 50 vu: ml t0: [01:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [01:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml t0: [01:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml t0: [02:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [02:00:00 31/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 115 vo: 50 vu: ml t0: [02:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml
t0: [03:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [03:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [03:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [03:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/12/2009] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 31/12/2009] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [04:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 31/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [04:00:00 31/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [04:00:00 31/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: -1 v1: Left Posterior st: NotStopd t0: [04:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 31/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 31/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 31/12/2009] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 31/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 31/12/2009] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 31/12/2009] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 31/12/2009] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 31/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 31/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 31/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [04:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 55 u1: BPM st: NotStopd t0: [04:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Brady st: NotStopd t0: [04:00:00 31/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 31/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 28 st: NotStopd t0: [04:00:00 31/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 31/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 31/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 10 v2: 30 st: NotStopd t0: [04:00:00 31/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 31/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 31/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 31/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 31/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 31/12/2009] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 st: NotStopd t0: [04:00:00 31/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [04:00:00 31/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 31/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 31/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 31/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 31/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 31/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 31/12/2009] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 31/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [04:00:00 31/12/2009] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 31/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 31/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [04:00:00 31/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [04:00:00 31/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 31/12/2009] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 31/12/2009] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 31/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: -1 v1: L Femoral st: NotStopd t0: [04:00:00 31/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 31/12/2009] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 31/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 31/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 31/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [04:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 31/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 31/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 31/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:00:00 31/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 31/12/2009] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 31/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 31/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Scant st: NotStopd t0: [04:00:00 31/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [04:00:00 31/12/2009] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 31/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [04:00:00 31/12/2009] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [04:00:00 31/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 31/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 31/12/2009] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 31/12/2009] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 31/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 31/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [04:00:00 31/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [04:00:00 31/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: -1 v1: Dry and Intact st: NotStopd
t0: [02:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 50 vu: ml t0: [03:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [03:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml t0: [03:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 50 vu: ml t0: [04:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [04:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml
t0: [05:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [05:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 146 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [05:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [05:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [05:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 31/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [06:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 31/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 31/12/2009] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [06:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [06:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 31/12/2009] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 31/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 31/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 31/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Nasal Cannula st: NotStopd t0: [06:00:00 31/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [06:00:00 31/12/2009] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 31/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [06:00:00 31/12/2009] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [06:00:00 31/12/2009] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [06:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [06:00:00 31/12/2009] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 31/12/2009] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [06:00:00 31/12/2009] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [06:00:00 31/12/2009] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Expectorated v2: Scant st: NotStopd t0: [06:00:00 31/12/2009] id: Support Systems el: 0 cu: MICU cg: -1 v1: Relative st: NotStopd t0: [06:00:00 31/12/2009] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [06:00:00 31/12/2009] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 31/12/2009] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [06:00:00 31/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 197 rs: Manual st: NotStopd
t0: [04:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 45 vu: ml t0: [05:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [05:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml t0: [05:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml t0: [06:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [06:00:00 31/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 115 vo: 50 vu: ml t0: [06:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml
t0: [05:30:00 31/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 23.5 rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 28.9 u1: % rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.6 u1: gm/dl rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 1418 rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.1 u1: /mic l rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 23.5 rs: Final st: NotStopd
t0: [07:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [07:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 138 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [07:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [07:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [07:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml t0: [07:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [07:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 481 vo: 60 vu: ml
t0: [05:30:00 31/12/2009] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 35 rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.7 rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 90 rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Amylase Enzymes el: 0 cu: MICU cg: 1663 v1: 38 rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 105 rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 189 rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 148 rs: Final st: NotStopd t0: [05:30:00 31/12/2009] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd
t0: [08:00:00 31/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 31/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [08:00:00 31/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: RN v1: Left Posterior st: NotStopd t0: [08:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 31/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 31/12/2009] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 31/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 31/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 31/12/2009] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [08:00:00 31/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 31/12/2009] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 31/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 31/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 61 u1: BPM st: NotStopd t0: [08:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 31/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 31/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 28 st: NotStopd t0: [08:00:00 31/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 31/12/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 31/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 30 st: NotStopd t0: [08:00:00 31/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 31/12/2009] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 31/12/2009] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [08:00:00 31/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Arm, Right Lower st: NotStopd t0: [08:00:00 31/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 31/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 31/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 31/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 31/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 31/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 31/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 31/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 31/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 31/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 31/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd t0: [08:00:00 31/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 31/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 31/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 147 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 31/12/2009] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [08:00:00 31/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 31/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 31/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 31/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 31/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 31/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 31/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 31/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 31/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [08:00:00 31/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [08:00:00 31/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 31/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 31/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 31/12/2009] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 31/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 31/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [08:00:00 31/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: RN v1: Dry and Intact st: NotStopd
t0: [08:00:00 31/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 128 vo: 0 vu: ml t0: [08:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 31/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 115 vo: 50 vu: ml t0: [08:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 60 vu: ml t0: [08:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [23:00:00 31/12/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: -1 cg: RN cv: 150 ap: none
t0: [09:00:00 31/12/2009] id: bath el: 0 cu: MICU cg: RN v1: DONE t0: [09:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 31/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [09:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 31/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 31/12/2009] id: OOB TO CHAIR el: 0 cu: MICU cg: RN t0: [09:00:00 31/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [09:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 31/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 31/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 31/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 31/12/2009] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 31/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 149 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [09:00:00 31/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [09:00:00 31/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [09:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [09:00:00 31/12/2009] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 31/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 31/12/2009] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 60 vu: ml t0: [09:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Amiodarone HCl f1: TAB v1: 400 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Amiodarone HCl f1: TAB v1: 400 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin f1: TAB v1: 325 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Levothyroxine Sodium f1: TAB v1: 75 u1: mcg
t0: [10:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 69 u1: BPM st: NotStopd t0: [10:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 60 vu: ml t0: [10:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [11:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 64 u1: BPM st: NotStopd t0: [11:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [11:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [11:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 60 vu: ml t0: [11:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [10:00:00 31/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 31/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 31/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 31/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 31/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 31/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [12:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 31/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 31/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 63 u1: BPM st: NotStopd t0: [12:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 31/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [12:00:00 31/12/2009] id: Pain Location el: 0 cu: MICU cg: RN st: NotStopd t0: [12:00:00 31/12/2009] id: Pain Management el: 1 cu: MICU cg: RN v1: PO Med v2: PO Med st: NotStopd t0: [12:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 31/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 164 rs: Manual st: NotStopd
t0: [12:00:00 31/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 128 vo: 0 vu: ml t0: [12:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 60 vu: ml t0: [12:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [12:00:00 31/12/2009] id: Micro-Neb Treatment el: 0 cu: MICU cg: -1 v1: alb/atr st: NotStopd
t0: [12:00:00 31/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [12:00:00 31/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: RN v1: Left Posterior st: NotStopd t0: [12:00:00 31/12/2009] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 31/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 31/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 31/12/2009] id: OOB TO CHAIR el: 0 cu: MICU cg: RN t0: [12:00:00 31/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 31/12/2009] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 31/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 31/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 31/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 31/12/2009] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 31/12/2009] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 28 st: NotStopd t0: [12:00:00 31/12/2009] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 31/12/2009] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 31/12/2009] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 10 v2: 30 st: NotStopd t0: [12:00:00 31/12/2009] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 31/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 31/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 31/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 31/12/2009] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [12:00:00 31/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Arm, Right Lower st: NotStopd t0: [12:00:00 31/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 31/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 31/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 31/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 31/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 31/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 31/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [12:00:00 31/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 31/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 31/12/2009] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 31/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 31/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 31/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [12:00:00 31/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 31/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 31/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 31/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 31/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 31/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 31/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 31/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 31/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 31/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [12:00:00 31/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Rectal st: NotStopd t0: [12:00:00 31/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [12:00:00 31/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [12:00:00 31/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 31/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 31/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 31/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 31/12/2009] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 31/12/2009] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 31/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [12:00:00 31/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [12:00:00 31/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: RN v1: Dry and Intact st: NotStopd
t0: [13:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 62 u1: BPM st: NotStopd t0: [13:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [13:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [13:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 60 vu: ml t0: [13:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [14:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 31/12/2009] id: OOB TO CHAIR el: 0 cu: MICU cg: RN t0: [14:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 61 u1: BPM st: NotStopd t0: [14:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 60 vu: ml t0: [14:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [15:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 56 u1: BPM st: NotStopd t0: [15:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [15:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [15:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [15:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [15:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 60 vu: ml t0: [15:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [23:00:00 31/12/2009] dt: 24 id: Stool Out Total el: 2 cu: -1 cg: RN cv: 0 ap: carryForward
t0: [09:00:00 31/12/2009] id: Previous Weight el: 0 cu: MICU cg: RN v1: 67.9 u1: kg st: NotStopd t0: [09:00:00 31/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.9 u1: kg st: NotStopd t0: [09:00:00 31/12/2009] id: Weight Change el: 0 cu: MICU cg: RN v1: 0 u1: kg st: NotStopd t0: [09:00:00 31/12/2009] id: Daily Weight el: 0 cu: MICU cg: RN v1: 67.9 u1: kg st: NotStopd t0: [10:00:00 31/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.9 u1: kg st: NotStopd t0: [11:00:00 31/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.9 u1: kg st: NotStopd t0: [12:00:00 31/12/2009] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [12:00:00 31/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.9 u1: kg st: NotStopd t0: [13:00:00 31/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 31/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.9 u1: kg st: NotStopd t0: [14:00:00 31/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 31/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.9 u1: kg st: NotStopd t0: [15:00:00 31/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 31/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.9 u1: kg st: NotStopd t0: [16:00:00 31/12/2009] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 31/12/2009] id: Capillary Refill R/L el: 0 cu: MICU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [16:00:00 31/12/2009] id: Chest PT R/L el: 0 cu: MICU cg: RN v1: Done v2: Done st: NotStopd t0: [16:00:00 31/12/2009] id: Chest Tube Site #1 el: 0 cu: MICU cg: RN v1: Left Posterior st: NotStopd t0: [16:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 31/12/2009] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 31/12/2009] id: Cough/Deep Breathe el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 31/12/2009] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 31/12/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 31/12/2009] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 31/12/2009] id: OOB TO CHAIR el: 0 cu: MICU cg: RN t0: [16:00:00 31/12/2009] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 31/12/2009] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 31/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 31/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 31/12/2009] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 55 u1: BPM st: NotStopd t0: [16:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [16:00:00 31/12/2009] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 31/12/2009] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 31/12/2009] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 31/12/2009] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [16:00:00 31/12/2009] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Arm, Right Lower st: NotStopd t0: [16:00:00 31/12/2009] id: Inc Closure/Appear#1 el: 0 cu: MICU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 31/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 31/12/2009] id: Incentive Spirometry el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 31/12/2009] id: Incision/Wound #1 el: 0 cu: MICU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 31/12/2009] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 31/12/2009] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 31/12/2009] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 31/12/2009] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [16:00:00 31/12/2009] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 31/12/2009] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 31/12/2009] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 31/12/2009] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 2 u1: lpm st: NotStopd t0: [16:00:00 31/12/2009] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 31/12/2009] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 31/12/2009] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 31/12/2009] id: Angio Site #1 el: 0 cu: MICU cg: RN v1: L Femoral st: NotStopd t0: [16:00:00 31/12/2009] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 31/12/2009] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:00:00 31/12/2009] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 31/12/2009] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 31/12/2009] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 31/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.9 u1: kg st: NotStopd t0: [16:00:00 31/12/2009] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 31/12/2009] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 31/12/2009] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 31/12/2009] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 31/12/2009] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 31/12/2009] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 31/12/2009] id: Temp. Site el: 0 cu: MICU cg: RN v1: Rectal st: NotStopd t0: [16:00:00 31/12/2009] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [16:00:00 31/12/2009] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [16:00:00 31/12/2009] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 31/12/2009] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 31/12/2009] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 31/12/2009] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 31/12/2009] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 31/12/2009] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 31/12/2009] id: CT #1 Crepitus el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [16:00:00 31/12/2009] id: CT #1 Dressing el: 0 cu: MICU cg: RN v1: Dry and Intact st: NotStopd
t0: [16:00:00 31/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 128 vo: 0 vu: ml t0: [16:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [17:00:00 31/12/2009] id: Service Type el: 0 cu: MICU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 31/12/2009] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 31/12/2009] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 31/12/2009] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 31/12/2009] id: Heart Rate el: 0 cu: MICU cg: RN v1: 58 u1: BPM st: NotStopd t0: [17:00:00 31/12/2009] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Brady st: NotStopd t0: [17:00:00 31/12/2009] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [17:00:00 31/12/2009] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62.6667 u1: mmHg st: NotStopd t0: [17:00:00 31/12/2009] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [17:00:00 31/12/2009] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [17:00:00 31/12/2009] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 31/12/2009] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.9 u1: kg st: NotStopd t0: [17:00:00 31/12/2009] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:00:00 31/12/2009] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 31/12/2009] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 70 vu: ml t0: [17:00:00 31/12/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 31/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 481 vo: 70 vu: ml t0: [17:00:00 31/12/2009] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [23:00:00 31/12/2009] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 31/12/2009] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: RN cv: 720 ap: none t0: [23:00:00 31/12/2009] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: RN cv: 720 ap: carryForward
tf: [17:00:00 01/01/2010] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam f1: SYR v1: 0.5-1 u1: mg tf: [13:00:00 03/01/2010] pt: Unit Dose rt: PO fr: TID:PRN m1: Kaopectate/Benadryl/Lido Visc. f1: SOLN v1: 30 u1: ml tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol-Ipratropium f1: AERO v1: 1-2 u1: PUFF tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: PRN m1: Calcium Gluconate f1: INJ v1: 2 u1: gm tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: PRN m1: Magnesium Sulfate f1: INJ v1: 2 u1: gm tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen f1: TAB v1: 325-650 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: Q8H:PRN m1: Ibuprofen f1: TAB v1: 600 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin f1: INJ v1: 0 u1: UNIT
tf: [20:00:00 01/01/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 19 dn: 1 m1: Pantoprazole Sodium f1: INJ v1: 40 u1: mg m2: NS f2: INJ v2: 100 u2: ml tf: [13:00:00 03/01/2010] pt: Unit Dose rt: SL fr: PRN m1: Nitroglycerin SL f1: TAB v1: 0.3 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: SC fr: Q12H fs: 19, 7 dn: 2 m1: Enoxaparin Sodium f1: SYR v1: 60 u1: mg
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol f1: TAB v1: 50 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril f1: TAB v1: 6.25 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Hydroxyurea f1: CAP v1: 500 u1: mg
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: NG fr: QD fs: 10 dn: 1 m1: Lansoprazole Oral Solution f1: CAP v1: 30 u1: mg
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone-Acetaminophen f1: TAB v1: 1-2 u1: TAB
tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: DopAmine f1: BAG v1: 400 u1: mg m2: D5W f2: INJ v2: 250 u2: ml
tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium f1: INJ v1: 25000 u1: UNIT m2: D5W f2: INJ v2: 250 u2: ml tf: [00:00:00 10/01/2010] pt: Unit Dose rt: SC fr: Q12H fs: 21, 9 dn: 2 m1: Enoxaparin Sodium f1: SYR v1: 60 u1: mg
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol f1: TAB v1: 50 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril f1: TAB v1: 6.25 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril f1: TAB v1: 6.25 u1: mg
tf: [13:00:00 03/01/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: DopAmine f1: BAG v1: 400 u1: mg m2: D5W f2: INJ v2: 250 u2: ml
tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium f1: INJ v1: 25000 u1: UNIT m2: D5W f2: INJ v2: 250 u2: ml
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: ONCE fs: 10 dn: 1 m1: Furosemide f1: TAB v1: 20 u1: mg
id: Neosynephrine-k el: 100 cu: CCU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip id: Heparin el: 100 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip id: Dopamine el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push
tf: [18:48:00 05/01/2010] dt: 3272 cu: CSRU de: CCU
t0: [12:17:00 03/01/2010] id: BSA el: 1033 cu: CCU cg: -1 t0: [12:17:00 03/01/2010] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 68 u1: kg t0: [12:17:00 03/01/2010] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [12:17:00 03/01/2010] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: LUNG MASS LEFT/SDA t0: [12:17:00 03/01/2010] id: Service el: 1026 cu: CCU cg: -1 v1: TSU t0: [12:17:00 03/01/2010] id: Admit Ht el: 1034 cu: CCU cg: -1 t0: [12:17:00 03/01/2010] id: Readmission el: 1014 cu: CCU cg: -1 t0: [12:17:00 03/01/2010] id: Marital Status el: 1006 cu: CCU cg: -1 v1: W t0: [12:17:00 03/01/2010] id: Religion el: 1000 cu: CCU cg: -1 v1: JEW t0: [12:17:00 03/01/2010] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [12:17:00 03/01/2010] id: Ext el: 1010 cu: CCU cg: -1 t0: [12:17:00 03/01/2010] id: PIN el: 1012 cu: CCU cg: -1 t0: [12:17:00 03/01/2010] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [13:00:00 03/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 03/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 03/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [13:00:00 03/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 03/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [13:00:00 03/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 58.3333 u1: mmHg st: NotStopd t0: [13:00:00 03/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 03/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 03/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 03/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 0 vu: ml t0: [13:00:00 03/01/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 0 vu: ml
t0: [13:00:00 03/01/2010] tf: [18:48:00 05/01/2010] dt: 3228 id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 03/01/2010] tf: [18:48:00 05/01/2010] dt: 3228 id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 03/01/2010] tf: [18:48:00 05/01/2010] dt: 3228 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 80 vu: ml
t0: [13:00:00 03/01/2010] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [13:00:00 03/01/2010] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [13:00:00 03/01/2010] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd
t0: [13:00:00 03/01/2010] tf: [18:48:00 05/01/2010] dt: 3228 id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:15:00 03/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:15:00 03/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:15:00 03/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:15:00 03/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [13:15:00 03/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:15:00 03/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:15:00 03/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [13:15:00 03/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:15:00 03/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [13:15:00 03/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:15:00 03/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:15:00 03/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:15:00 03/01/2010] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: DopAmine f1: BAG v1: 400 u1: mg m2: D5W f2: INJ v2: 250 u2: ml tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl f1: INJ v1: 60 u1: mg m2: D5W f2: INJ v2: 250 u2: ml tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl f1: VIAL v1: 120 u1: mg m2: D5W f2: INJ v2: 250 u2: ml
t0: [13:25:00 03/01/2010] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.5 rs: Final st: NotStopd t0: [13:25:00 03/01/2010] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 24.7 u1: % rs: Final st: NotStopd t0: [13:25:00 03/01/2010] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 7.6 u1: gm/dl rs: Final st: NotStopd t0: [13:25:00 03/01/2010] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 1112 rs: Final st: NotStopd t0: [13:25:00 03/01/2010] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.67 u1: /mic l rs: Final st: NotStopd t0: [13:25:00 03/01/2010] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.5 rs: Final st: NotStopd
t0: [14:38:00 03/01/2010] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [13:25:00 03/01/2010] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [13:25:00 03/01/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7 u1: mg/dl rs: Final st: NotStopd t0: [13:25:00 03/01/2010] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [13:25:00 03/01/2010] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [13:25:00 03/01/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [13:25:00 03/01/2010] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 145 rs: Final st: NotStopd t0: [13:25:00 03/01/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [13:25:00 03/01/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 u1: mEq/L rs: Final st: NotStopd t0: [13:25:00 03/01/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [13:25:00 03/01/2010] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 144 rs: Final st: NotStopd
t0: [14:00:00 03/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 03/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 03/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 03/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [14:00:00 03/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 03/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 03/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 03/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 03/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 03/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 03/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 03/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 03/01/2010] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 03/01/2010] id: Heart Sounds el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [15:00:00 03/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 03/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 03/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 03/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [15:00:00 03/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 03/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [15:00:00 03/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [15:00:00 03/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [15:00:00 03/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 03/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 03/01/2010] tf: [18:48:00 05/01/2010] dt: 3108 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 16 vu: ml t0: [15:00:00 03/01/2010] tf: [17:00:00 03/01/2010] dt: 120 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 7.65 vu: ml t0: [15:00:00 03/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 140 vu: ml
t0: [15:00:00 03/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 03/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 03/01/2010] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 03/01/2010] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 11 v2: 9 st: NotStopd t0: [13:00:00 03/01/2010] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [13:00:00 03/01/2010] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 11 v2: 9 st: NotStopd t0: [13:00:00 03/01/2010] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [13:00:00 03/01/2010] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [13:00:00 03/01/2010] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/01/2010] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [16:00:00 03/01/2010] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 03/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 03/01/2010] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 03/01/2010] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 03/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 03/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 03/01/2010] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 03/01/2010] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 03/01/2010] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 03/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 03/01/2010] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 03/01/2010] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 03/01/2010] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 03/01/2010] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 03/01/2010] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 03/01/2010] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 03/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 03/01/2010] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 03/01/2010] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 03/01/2010] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 03/01/2010] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 03/01/2010] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 03/01/2010] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:00:00 03/01/2010] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 03/01/2010] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Chairfast st: NotStopd t0: [16:00:00 03/01/2010] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [16:00:00 03/01/2010] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 03/01/2010] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 03/01/2010] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 03/01/2010] id: Braden Score el: 0 cu: CSRU cg: RN v1: 17 u1: number st: NotStopd t0: [16:00:00 03/01/2010] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [15:00:00 03/01/2010] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [15:00:00 03/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [15:00:00 03/01/2010] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 03/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 03/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 03/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 03/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [16:00:00 03/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 03/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [16:00:00 03/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [16:00:00 03/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:00:00 03/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 03/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 03/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 03/01/2010] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 03/01/2010] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 03/01/2010] id: Gag Reflex el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 03/01/2010] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 03/01/2010] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 03/01/2010] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 03/01/2010] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 03/01/2010] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 03/01/2010] id: Speech el: 0 cu: CSRU cg: RN v1: Normal st: NotStopd
t0: [17:00:00 03/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 03/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 03/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 03/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [17:00:00 03/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 03/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 115 u2: mmHg st: NotStopd t0: [17:00:00 03/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 125.333 u1: mmHg st: NotStopd t0: [17:00:00 03/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 03/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 03/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 16 vu: ml t0: [17:00:00 03/01/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 0 vu: ml t0: [17:00:00 03/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 140 vu: ml
t0: [17:00:00 03/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 03/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 03/01/2010] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:30:00 03/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [17:30:00 03/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 63.6667 u1: mmHg st: NotStopd
t0: [14:00:00 03/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [14:00:00 03/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [16:00:00 03/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 03/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [17:00:00 03/01/2010] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 03/01/2010] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [17:00:00 03/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 03/01/2010] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [17:00:00 03/01/2010] id: Pain Location el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [17:00:00 03/01/2010] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [18:00:00 03/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 03/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 03/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 03/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [18:00:00 03/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 03/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 03/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 82.6667 u1: mmHg st: NotStopd t0: [18:00:00 03/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [18:00:00 03/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [18:00:00 03/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 03/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [18:00:00 03/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 03/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 03/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 03/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 03/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [19:00:00 03/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 03/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 03/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 03/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 03/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 16 vu: ml t0: [19:00:00 03/01/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 0 vu: ml t0: [19:00:00 03/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 140 vu: ml
t0: [18:00:00 03/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 03/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 03/01/2010] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 03/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 03/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 03/01/2010] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: Packed RBC's el: 1 cu: CSRU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [19:00:00 03/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [19:00:00 03/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd
t0: [13:25:00 03/01/2010] id: PTT(22-35) Coags el: 0 cu: CSRU cg: RN v1: 32.3 rs: Final st: NotStopd
t0: [13:00:00 03/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 03/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:30:00 03/01/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 176 rs: Manual st: NotStopd
t0: [20:00:00 03/01/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: -1 ai: 115 vo: 0 st: D/C'd
tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium f1: INJ v1: 25000 u1: UNIT m2: D5W f2: INJ v2: 250 u2: ml
t0: [20:00:00 03/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 03/01/2010] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 03/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 03/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 03/01/2010] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 03/01/2010] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [20:00:00 03/01/2010] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 03/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 03/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 03/01/2010] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 03/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [20:00:00 03/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 03/01/2010] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 03/01/2010] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 03/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [20:00:00 03/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 03/01/2010] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 03/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [20:00:00 03/01/2010] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 03/01/2010] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 03/01/2010] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 03/01/2010] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 03/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 03/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:00:00 03/01/2010] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 03/01/2010] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 03/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 03/01/2010] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 03/01/2010] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 03/01/2010] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 03/01/2010] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 03/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 03/01/2010] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [18:00:00 03/01/2010] tf: [18:48:00 05/01/2010] dt: 2928 id: Packed RBC's IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 375 vu: ml nb: 1 t0: [20:00:00 03/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 8 vu: ml t0: [20:00:00 03/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 70 vu: ml
t0: [20:00:00 03/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 03/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 03/01/2010] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/01/2010] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN cv: 375 ap: none
t0: [21:00:00 03/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 03/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 03/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 03/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [21:00:00 03/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 03/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [21:00:00 03/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [21:00:00 03/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [21:00:00 03/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [21:00:00 03/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 03/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 03/01/2010] tf: [18:48:00 05/01/2010] dt: 2808 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [20:00:00 03/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 80.75 vu: ml t0: [21:00:00 03/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [21:00:00 03/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8.5 vu: ml t0: [21:00:00 03/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 70 vu: ml
t0: [21:00:00 03/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 03/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:30:00 03/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:30:00 03/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:30:00 03/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:30:00 03/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [21:30:00 03/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:30:00 03/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [21:30:00 03/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 102.333 u1: mmHg st: NotStopd t0: [21:30:00 03/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:30:00 03/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [21:30:00 03/01/2010] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [21:30:00 03/01/2010] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [21:30:00 03/01/2010] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [21:30:00 03/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 03/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:30:00 03/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 03/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 03/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 03/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 03/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [22:00:00 03/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 03/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:00:00 03/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [22:00:00 03/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 03/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 03/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [22:00:00 03/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8.5 vu: ml t0: [22:00:00 03/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 70 vu: ml
t0: [22:00:00 03/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 03/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 03/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 03/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 03/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [23:00:00 03/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 03/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 03/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [23:00:00 03/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 03/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 03/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 03/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 03/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/01/2010] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 45 cv: 45 ap: none t0: [23:00:00 03/01/2010] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 45 cv: 1067 ap: none t0: [23:00:00 03/01/2010] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 45 cv: 1067 ap: none
t0: [20:00:00 03/01/2010] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [20:00:00 03/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 03/01/2010] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 03/01/2010] id: Gag Reflex el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 03/01/2010] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 03/01/2010] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 03/01/2010] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 03/01/2010] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 03/01/2010] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 03/01/2010] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 03/01/2010] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 03/01/2010] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 03/01/2010] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 03/01/2010] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 03/01/2010] id: Speech el: 0 cu: CSRU cg: RN v1: Normal st: NotStopd t0: [21:00:00 03/01/2010] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 03/01/2010] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 03/01/2010] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 03/01/2010] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [23:00:00 03/01/2010] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [23:00:00 03/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:00:00 03/01/2010] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [23:00:00 03/01/2010] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [23:00:00 03/01/2010] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [23:00:00 03/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [23:00:00 03/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [23:00:00 03/01/2010] id: Gag Reflex el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [23:00:00 03/01/2010] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [23:00:00 03/01/2010] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [23:00:00 03/01/2010] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 03/01/2010] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [23:00:00 03/01/2010] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 03/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [23:00:00 03/01/2010] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 03/01/2010] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 03/01/2010] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [23:00:00 03/01/2010] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:00:00 03/01/2010] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [23:00:00 03/01/2010] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 03/01/2010] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [23:00:00 03/01/2010] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 03/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [23:00:00 03/01/2010] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 03/01/2010] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [23:00:00 03/01/2010] id: Speech el: 0 cu: CSRU cg: RN v1: Normal st: NotStopd t0: [23:00:00 03/01/2010] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [23:00:00 03/01/2010] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 03/01/2010] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [23:00:00 03/01/2010] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [23:00:00 03/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [23:00:00 03/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8.5 vu: ml t0: [23:00:00 03/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 70 vu: ml t0: [23:15:00 03/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 2.5 vu: ml t0: [23:15:00 03/01/2010] id: Packed RBC's IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 375 vu: ml t0: [23:15:00 03/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2.125 vu: ml t0: [23:15:00 03/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 20 vu: ml
t0: [23:00:00 03/01/2010] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 43.5 cv: 43.5 ap: none t0: [23:00:00 03/01/2010] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 18.5 cv: 199.9 ap: none t0: [23:00:00 03/01/2010] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 88.5 cv: 1354.9 ap: none t0: [23:00:00 03/01/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 70 cv: 780 ap: none t0: [23:00:00 03/01/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 43.5 cv: 287.9 ap: none t0: [23:00:00 03/01/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 43.5 cv: -1212.4 ap: carryForward t0: [23:00:00 04/01/2010] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN cv: 375 ap: none
t0: [23:00:00 03/01/2010] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [23:00:00 03/01/2010] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [23:00:00 03/01/2010] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.1 u1: Deg. F st: NotStopd
t0: [00:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 63 u1: BPM st: NotStopd t0: [00:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [00:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [00:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 7.5 vu: ml t0: [00:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6.375 vu: ml t0: [00:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 60 vu: ml
t0: [00:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [01:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [01:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [01:00:00 04/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [01:00:00 04/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [01:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [01:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8.5 vu: ml t0: [01:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 80 vu: ml
t0: [01:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 04/01/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 156 rs: Manual st: NotStopd
t0: [21:00:00 03/01/2010] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 03/01/2010] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 04/01/2010] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [02:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 04/01/2010] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 04/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [02:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [02:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [02:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [02:00:00 04/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [02:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 04/01/2010] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [02:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8.5 vu: ml t0: [02:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 80 vu: ml nb: 1
t0: [02:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 04/01/2010] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [03:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 04/01/2010] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [03:00:00 04/01/2010] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [03:00:00 04/01/2010] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [03:00:00 04/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [03:00:00 04/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [03:00:00 04/01/2010] id: Gag Reflex el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [03:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [03:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 04/01/2010] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [03:00:00 04/01/2010] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [03:00:00 04/01/2010] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 04/01/2010] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [03:00:00 04/01/2010] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 04/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: RN st: NotStopd t0: [03:00:00 04/01/2010] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [03:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 91.3333 u1: mmHg st: NotStopd t0: [03:00:00 04/01/2010] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 04/01/2010] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [03:00:00 04/01/2010] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [03:00:00 04/01/2010] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [03:00:00 04/01/2010] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [03:00:00 04/01/2010] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 04/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [03:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [03:00:00 04/01/2010] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 04/01/2010] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [03:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 04/01/2010] id: Speech el: 0 cu: CSRU cg: RN v1: Normal st: NotStopd t0: [03:00:00 04/01/2010] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [03:00:00 04/01/2010] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [03:00:00 04/01/2010] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [03:00:00 04/01/2010] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [03:00:00 04/01/2010] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 04/01/2010] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [03:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 04/01/2010] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [03:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [03:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8.5 vu: ml t0: [03:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 80 vu: ml
t0: [03:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd
t0: [04:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [04:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8.5 vu: ml t0: [04:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 80 vu: ml
t0: [04:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [04:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 160 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 87.3333 u1: mmHg st: NotStopd t0: [04:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [04:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 04/01/2010] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 11 v2: 9 st: NotStopd t0: [01:00:00 04/01/2010] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [01:00:00 04/01/2010] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 11 v2: 9 st: NotStopd t0: [01:00:00 04/01/2010] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd
t0: [05:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml nb: 1 t0: [05:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8.5 vu: ml t0: [05:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 80 vu: ml
t0: [05:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [05:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 84.6667 u1: mmHg st: NotStopd t0: [05:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 04/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [06:00:00 04/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd
t0: [06:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [06:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8.5 vu: ml t0: [06:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 80 vu: ml
t0: [06:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [06:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [06:00:00 04/01/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 156 rs: Manual st: NotStopd
t0: [06:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [07:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4.25 vu: ml t0: [07:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 80 vu: ml
t0: [06:00:00 04/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: RN st: NotStopd
t0: [06:30:00 04/01/2010] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.6 rs: Final st: NotStopd t0: [06:30:00 04/01/2010] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30.1 u1: % rs: Final st: NotStopd t0: [06:30:00 04/01/2010] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [06:30:00 04/01/2010] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 696 rs: Final st: NotStopd t0: [06:30:00 04/01/2010] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.44 u1: /mic l rs: Final st: NotStopd t0: [06:30:00 04/01/2010] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.6 rs: Final st: NotStopd
t0: [06:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [06:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:30:00 04/01/2010] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [06:30:00 04/01/2010] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 12.5 rs: Final st: NotStopd t0: [06:30:00 04/01/2010] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 43.5 rs: Final st: NotStopd t0: [07:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [07:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [07:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [07:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [07:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 04/01/2010] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [08:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 04/01/2010] id: Capillary Refill R/L el: 0 cu: CSRU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [08:00:00 04/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 04/01/2010] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 04/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 04/01/2010] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 04/01/2010] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [08:00:00 04/01/2010] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 04/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 04/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [08:00:00 04/01/2010] id: Gag Reflex el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 04/01/2010] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [08:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 04/01/2010] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 04/01/2010] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [08:00:00 04/01/2010] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 04/01/2010] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [08:00:00 04/01/2010] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [08:00:00 04/01/2010] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 04/01/2010] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 04/01/2010] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 04/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [08:00:00 04/01/2010] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 04/01/2010] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 04/01/2010] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [08:00:00 04/01/2010] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 04/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 04/01/2010] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 136 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [08:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 78.6667 u1: mmHg st: NotStopd t0: [08:00:00 04/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [08:00:00 04/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [08:00:00 04/01/2010] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 04/01/2010] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 04/01/2010] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 04/01/2010] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 04/01/2010] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 04/01/2010] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 04/01/2010] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:00:00 04/01/2010] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 04/01/2010] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 04/01/2010] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [08:00:00 04/01/2010] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 04/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:00:00 04/01/2010] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 04/01/2010] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 04/01/2010] id: Speech el: 0 cu: CSRU cg: -1 v1: Normal st: NotStopd t0: [08:00:00 04/01/2010] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 04/01/2010] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 04/01/2010] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/01/2010] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 04/01/2010] id: Behavior el: 0 cu: CSRU cg: -1 v1: Questioning st: NotStopd t0: [08:00:00 04/01/2010] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [08:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [08:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 4.25 vu: ml t0: [08:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml
t0: [08:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:30:00 04/01/2010] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [06:30:00 04/01/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 6.5 u1: mg/dl rs: Final st: NotStopd t0: [06:30:00 04/01/2010] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [06:30:00 04/01/2010] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [06:30:00 04/01/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [06:30:00 04/01/2010] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 158 rs: Final st: NotStopd t0: [06:30:00 04/01/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [06:30:00 04/01/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [06:30:00 04/01/2010] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 146 rs: Final st: NotStopd
t0: [09:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 04/01/2010] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [09:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [09:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 04/01/2010] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [09:00:00 04/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [09:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 139 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [09:00:00 04/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [09:00:00 04/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [09:00:00 04/01/2010] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 04/01/2010] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [09:00:00 04/01/2010] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 04/01/2010] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [09:00:00 04/01/2010] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 04/01/2010] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [09:00:00 04/01/2010] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [10:00:00 04/01/2010] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [10:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 04/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [10:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 142 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 79.3333 u1: mmHg st: NotStopd t0: [10:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [10:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [10:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [09:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml t0: [10:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [10:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml
t0: [10:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 04/01/2010] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 04/01/2010] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 04/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [10:00:00 04/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [11:00:00 04/01/2010] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 04/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [11:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [11:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 107 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 68.3333 u1: mmHg st: NotStopd t0: [11:00:00 04/01/2010] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: At Rest st: NotStopd t0: [11:00:00 04/01/2010] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [11:00:00 04/01/2010] id: Pain Management el: 1 cu: CSRU cg: -1 v1: PO Med v2: Backrub st: NotStopd t0: [11:00:00 04/01/2010] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Constant st: NotStopd t0: [11:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [11:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [11:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [11:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 4.3 vu: ml t0: [11:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml
t0: [11:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/01/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 cv: 160 ap: none
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: NG fr: ONCE fs: 12 dn: 1 m1: Potassium Chloride f1: PWDR v1: 20 u1: mEq
t0: [06:30:00 04/01/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.9 rs: Final st: NotStopd
t0: [11:00:00 04/01/2010] id: Capillary Refill R/L el: 0 cu: CSRU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [11:00:00 04/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [11:00:00 04/01/2010] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [11:30:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:30:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:30:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:30:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [11:30:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:30:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 136 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [11:30:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [11:30:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [11:30:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:30:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 04/01/2010] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [12:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 04/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 04/01/2010] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 04/01/2010] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 04/01/2010] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [12:00:00 04/01/2010] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 04/01/2010] id: Gag Reflex el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [12:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 04/01/2010] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 04/01/2010] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 04/01/2010] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [12:00:00 04/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 04/01/2010] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 145 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [12:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 70.3333 u1: mmHg st: NotStopd t0: [12:00:00 04/01/2010] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 04/01/2010] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 04/01/2010] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [12:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 04/01/2010] id: Speech el: 0 cu: CSRU cg: -1 v1: Normal st: NotStopd t0: [12:00:00 04/01/2010] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:30:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 04/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 04/01/2010] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 04/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 04/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [12:00:00 04/01/2010] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft Distended st: NotStopd t0: [12:00:00 04/01/2010] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 04/01/2010] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 04/01/2010] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 04/01/2010] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 04/01/2010] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 04/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 04/01/2010] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 04/01/2010] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 04/01/2010] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 04/01/2010] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 04/01/2010] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [13:00:00 04/01/2010] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [13:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 04/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [13:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 04/01/2010] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [13:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [13:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 04/01/2010] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [13:00:00 04/01/2010] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [13:00:00 04/01/2010] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [13:00:00 04/01/2010] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [13:00:00 04/01/2010] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 04/01/2010] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [13:00:00 04/01/2010] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [13:00:00 04/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [13:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 104 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [13:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 60.6667 u1: mmHg st: NotStopd t0: [13:00:00 04/01/2010] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 04/01/2010] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [13:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [13:00:00 04/01/2010] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [13:00:00 04/01/2010] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [13:00:00 04/01/2010] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [13:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [12:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 6.375 vu: ml t0: [12:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml t0: [13:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [13:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 4.25 vu: ml t0: [13:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml
t0: [13:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 04/01/2010] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd
t0: [14:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [14:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 155 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 86.3333 u1: mmHg st: NotStopd t0: [14:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [14:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [14:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 04/01/2010] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 04/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [15:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 145 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 83.6667 u1: mmHg st: NotStopd t0: [15:00:00 04/01/2010] id: Pain Management el: 1 cu: CSRU cg: -1 v1: PO Med v2: Backrub st: NotStopd t0: [15:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [15:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [15:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [14:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 8.5 vu: ml t0: [14:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml t0: [15:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [15:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 8.5 vu: ml t0: [15:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml
t0: [14:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 04/01/2010] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 212 rs: Manual st: NotStopd
t0: [16:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 04/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [16:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 145 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 92.3333 u1: mmHg st: NotStopd t0: [16:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [16:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [16:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [16:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 8.5 vu: ml t0: [16:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml
t0: [16:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 04/01/2010] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [15:00:00 04/01/2010] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [15:00:00 04/01/2010] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 04/01/2010] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 04/01/2010] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 04/01/2010] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: Independent st: NotStopd t0: [15:00:00 04/01/2010] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 04/01/2010] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [15:00:00 04/01/2010] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [15:00:00 04/01/2010] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [15:00:00 04/01/2010] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 04/01/2010] id: Capillary Refill R/L el: 0 cu: CSRU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [16:00:00 04/01/2010] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [16:00:00 04/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 04/01/2010] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 04/01/2010] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [16:00:00 04/01/2010] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 04/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 04/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [16:00:00 04/01/2010] id: Gag Reflex el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 04/01/2010] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft Distended st: NotStopd t0: [16:00:00 04/01/2010] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 04/01/2010] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Lifts and Holds st: NotStopd t0: [16:00:00 04/01/2010] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 04/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 04/01/2010] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 04/01/2010] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 04/01/2010] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 04/01/2010] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 04/01/2010] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [16:00:00 04/01/2010] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 04/01/2010] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Lifts and Holds st: NotStopd t0: [16:00:00 04/01/2010] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 04/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 04/01/2010] id: Speech el: 0 cu: CSRU cg: -1 v1: Normal st: NotStopd t0: [16:00:00 04/01/2010] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 04/01/2010] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 04/01/2010] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 04/01/2010] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [17:00:00 04/01/2010] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [17:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 04/01/2010] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [17:00:00 04/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [17:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [17:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 04/01/2010] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [17:00:00 04/01/2010] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [17:00:00 04/01/2010] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [17:00:00 04/01/2010] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [17:00:00 04/01/2010] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [17:00:00 04/01/2010] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [17:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 138 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [17:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [17:00:00 04/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [17:00:00 04/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [17:00:00 04/01/2010] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 04/01/2010] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: Supervised st: NotStopd t0: [17:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [17:00:00 04/01/2010] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [17:00:00 04/01/2010] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [17:00:00 04/01/2010] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.8 u1: Deg. F st: NotStopd t0: [17:00:00 04/01/2010] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [17:00:00 04/01/2010] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [17:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 8.5 vu: ml t0: [17:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml
t0: [17:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PR fr: ONCE fs: 17 dn: 1 m1: Bisacodyl (Rectal) f1: SUPP v1: 10 u1: mg
t0: [18:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 04/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [18:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [18:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 131 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [18:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 88.3333 u1: mmHg st: NotStopd t0: [18:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [18:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [18:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 04/01/2010] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 139 rs: Manual st: NotStopd t0: [19:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [19:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 126 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [19:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [19:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [19:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [18:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 4.2 vu: ml t0: [18:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml t0: [19:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [19:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 4.25 vu: ml t0: [19:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml
t0: [18:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 04/01/2010] id: ImpSkin Character #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 04/01/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 04/01/2010] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 04/01/2010] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 04/01/2010] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 04/01/2010] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 04/01/2010] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 04/01/2010] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [20:00:00 04/01/2010] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 04/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 04/01/2010] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/01/2010] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 04/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 04/01/2010] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 04/01/2010] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 04/01/2010] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 04/01/2010] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 04/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 04/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 04/01/2010] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [20:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [20:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 04/01/2010] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 04/01/2010] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 11 v2: 9 st: NotStopd t0: [20:00:00 04/01/2010] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:00:00 04/01/2010] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 11 v2: 9 st: NotStopd t0: [20:00:00 04/01/2010] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [20:00:00 04/01/2010] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 04/01/2010] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/01/2010] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/01/2010] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 04/01/2010] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 04/01/2010] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 04/01/2010] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 04/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 04/01/2010] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [20:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [20:00:00 04/01/2010] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 04/01/2010] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 04/01/2010] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 04/01/2010] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 04/01/2010] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 04/01/2010] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 04/01/2010] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 04/01/2010] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 04/01/2010] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 04/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [20:00:00 04/01/2010] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 04/01/2010] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/01/2010] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 04/01/2010] id: Speech el: 0 cu: CSRU cg: RN v1: Normal st: NotStopd t0: [20:00:00 04/01/2010] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 04/01/2010] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 04/01/2010] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [20:00:00 04/01/2010] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [20:00:00 04/01/2010] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 04/01/2010] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 04/01/2010] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 04/01/2010] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 04/01/2010] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 04/01/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 152 rs: Manual st: NotStopd t0: [20:00:00 04/01/2010] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [20:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4.25 vu: ml t0: [20:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 80 vu: ml
t0: [20:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 04/01/2010] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [21:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [21:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 04/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [22:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [22:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [22:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 04/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [22:00:00 04/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8.5 vu: ml t0: [22:00:00 04/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 160 vu: ml
t0: [21:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/01/2010] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 04/01/2010] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 04/01/2010] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN cv: 368.125 ap: none t0: [23:00:00 04/01/2010] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN cv: 2743.12 ap: none t0: [23:00:00 04/01/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN cv: 1840 ap: none t0: [23:00:00 04/01/2010] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN cv: 1710 ap: none t0: [23:00:00 04/01/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN cv: 1033.12 ap: none t0: [23:00:00 04/01/2010] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN cv: 1710 ap: none t0: [23:00:00 04/01/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN cv: -179.275 ap: carryForward
t0: [22:00:00 04/01/2010] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [22:00:00 04/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:00:00 04/01/2010] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 04/01/2010] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [22:00:00 04/01/2010] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [22:00:00 04/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [22:00:00 04/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [22:00:00 04/01/2010] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [22:00:00 04/01/2010] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [22:00:00 04/01/2010] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 11 v2: 9 st: NotStopd t0: [22:00:00 04/01/2010] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [22:00:00 04/01/2010] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 11 v2: 9 st: NotStopd t0: [22:00:00 04/01/2010] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [22:00:00 04/01/2010] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [22:00:00 04/01/2010] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 04/01/2010] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 04/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 04/01/2010] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [22:00:00 04/01/2010] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 04/01/2010] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [22:00:00 04/01/2010] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 04/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [22:00:00 04/01/2010] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 04/01/2010] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 04/01/2010] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [22:00:00 04/01/2010] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:00:00 04/01/2010] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 04/01/2010] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [22:00:00 04/01/2010] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 04/01/2010] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [22:00:00 04/01/2010] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 04/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 04/01/2010] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 04/01/2010] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [22:00:00 04/01/2010] id: Speech el: 0 cu: CSRU cg: RN v1: Normal st: NotStopd t0: [22:00:00 04/01/2010] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [22:00:00 04/01/2010] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [22:00:00 04/01/2010] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [22:00:00 04/01/2010] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 04/01/2010] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [22:00:00 04/01/2010] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [22:00:00 04/01/2010] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [23:00:00 04/01/2010] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 04/01/2010] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 04/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 04/01/2010] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [23:00:00 04/01/2010] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 04/01/2010] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [23:00:00 04/01/2010] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd
t0: [23:00:00 04/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 04/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [23:00:00 04/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 04/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 04/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [23:00:00 04/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 04/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [23:00:00 04/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 04/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:00:00 04/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [23:00:00 04/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 04/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 04/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 05/01/2010] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [00:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 05/01/2010] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 11 v2: 9 st: NotStopd t0: [00:00:00 05/01/2010] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [00:00:00 05/01/2010] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 11 v2: 9 st: NotStopd t0: [00:00:00 05/01/2010] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [00:00:00 05/01/2010] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 05/01/2010] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/01/2010] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 05/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [00:00:00 05/01/2010] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [00:00:00 05/01/2010] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Independent st: NotStopd t0: [00:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 05/01/2010] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 05/01/2010] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [00:00:00 05/01/2010] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 05/01/2010] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 05/01/2010] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [00:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/01/2010] id: Behavior el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd
t0: [00:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [00:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8.5 vu: ml t0: [00:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 160 vu: ml
t0: [00:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:30:00 05/01/2010] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:30:00 05/01/2010] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:30:00 05/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:30:00 05/01/2010] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:30:00 05/01/2010] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:30:00 05/01/2010] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:30:00 05/01/2010] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [01:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 05/01/2010] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [01:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 05/01/2010] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 05/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [01:00:00 05/01/2010] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 05/01/2010] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [01:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [01:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [01:00:00 05/01/2010] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [01:00:00 05/01/2010] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [01:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4.25 vu: ml t0: [01:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 80 vu: ml
t0: [01:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Lorazepam f1: TAB v1: 0.5-1 u1: mg
t0: [20:00:00 04/01/2010] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 04/01/2010] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [02:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 05/01/2010] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [02:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 05/01/2010] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 05/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [02:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 05/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [02:00:00 05/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [02:00:00 05/01/2010] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 05/01/2010] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 05/01/2010] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 05/01/2010] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [03:00:00 05/01/2010] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [03:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 05/01/2010] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [03:00:00 05/01/2010] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [03:00:00 05/01/2010] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [03:00:00 05/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [03:00:00 05/01/2010] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [03:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [03:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 05/01/2010] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [03:00:00 05/01/2010] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 11 v2: 9 st: NotStopd t0: [03:00:00 05/01/2010] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [03:00:00 05/01/2010] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 11 v2: 9 st: NotStopd t0: [03:00:00 05/01/2010] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [03:00:00 05/01/2010] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 05/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 05/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [03:00:00 05/01/2010] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [03:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [03:00:00 05/01/2010] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [03:00:00 05/01/2010] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [03:00:00 05/01/2010] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [03:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 05/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [03:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 05/01/2010] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 05/01/2010] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [03:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 05/01/2010] id: Speech el: 0 cu: CSRU cg: RN v1: Normal st: NotStopd t0: [03:00:00 05/01/2010] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [03:00:00 05/01/2010] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 05/01/2010] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [03:00:00 05/01/2010] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [03:00:00 05/01/2010] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 05/01/2010] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [03:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 05/01/2010] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [03:00:00 05/01/2010] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [02:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [02:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4.25 vu: ml t0: [02:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 80 vu: ml t0: [03:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [03:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4.25 vu: ml t0: [03:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 80 vu: ml
t0: [02:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 05/01/2010] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 05/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 05/01/2010] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [04:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 05/01/2010] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 05/01/2010] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 05/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [04:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [04:00:00 05/01/2010] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [04:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 05/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 05/01/2010] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 05/01/2010] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [04:00:00 05/01/2010] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [04:00:00 05/01/2010] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/01/2010] id: Behavior el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd
t0: [04:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [04:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4.25 vu: ml t0: [04:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 80 vu: ml
t0: [04:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 05/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 05/01/2010] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [05:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 05/01/2010] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 11 v2: 9 st: NotStopd t0: [05:00:00 05/01/2010] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [05:00:00 05/01/2010] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 11 v2: 9 st: NotStopd t0: [05:00:00 05/01/2010] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [05:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [05:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 05/01/2010] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:15:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg u2: mmHg st: NotStopd t0: [05:30:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [05:30:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [06:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 63 u1: BPM st: NotStopd t0: [06:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [06:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [06:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:15:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [06:15:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd
t0: [05:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [05:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 05/01/2010] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [06:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 05/01/2010] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [06:00:00 05/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [06:00:00 05/01/2010] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 05/01/2010] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [06:00:00 05/01/2010] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [06:00:00 05/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [06:00:00 05/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [06:00:00 05/01/2010] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 05/01/2010] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [06:00:00 05/01/2010] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 05/01/2010] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [06:00:00 05/01/2010] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 05/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [06:00:00 05/01/2010] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 05/01/2010] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 05/01/2010] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [06:00:00 05/01/2010] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [06:00:00 05/01/2010] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [06:00:00 05/01/2010] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 05/01/2010] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [06:00:00 05/01/2010] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 05/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 05/01/2010] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 05/01/2010] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [06:00:00 05/01/2010] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [06:00:00 05/01/2010] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 05/01/2010] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [06:00:00 05/01/2010] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [06:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [06:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4.25 vu: ml t0: [06:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 115 vo: 160 vu: ml
t0: [04:00:00 05/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 05/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [04:15:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:15:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:15:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:15:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [04:15:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:15:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:15:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [04:15:00 05/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:15:00 05/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [04:15:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:15:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [04:15:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [04:15:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:30:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:30:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:30:00 05/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:30:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:30:00 05/01/2010] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 1 u1: torr st: NotStopd t0: [04:30:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [04:30:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:30:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 158 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [04:30:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 97.3333 u1: mmHg st: NotStopd t0: [04:30:00 05/01/2010] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [04:30:00 05/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [04:30:00 05/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [04:30:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:30:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 37 u1: BPM st: NotStopd t0: [04:30:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 85 u1: % st: NotStopd t0: [04:30:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:45:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:45:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:45:00 05/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:45:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:45:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [04:45:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:45:00 05/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:45:00 05/01/2010] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [04:45:00 05/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [04:45:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:45:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:45:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:45:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 05/01/2010] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [06:00:00 05/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [06:00:00 05/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [06:00:00 05/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd
t0: [04:15:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:15:00 05/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:30:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 05/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:45:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:45:00 05/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:09:00 05/01/2010] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [06:09:00 05/01/2010] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30.9 u1: % rs: Final st: NotStopd t0: [06:09:00 05/01/2010] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.7 u1: gm/dl rs: Final st: NotStopd t0: [06:09:00 05/01/2010] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 520 rs: Final st: NotStopd t0: [06:09:00 05/01/2010] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.46 u1: /mic l rs: Final st: NotStopd t0: [06:09:00 05/01/2010] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd
t0: [06:09:00 05/01/2010] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [06:09:00 05/01/2010] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 12.4 rs: Final st: NotStopd t0: [06:09:00 05/01/2010] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 43.1 rs: Final st: NotStopd
t0: [06:09:00 05/01/2010] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [06:09:00 05/01/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 6.8 u1: mg/dl rs: Final st: NotStopd t0: [06:09:00 05/01/2010] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [06:09:00 05/01/2010] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [06:09:00 05/01/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [06:09:00 05/01/2010] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 183 rs: Final st: NotStopd t0: [06:09:00 05/01/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [06:09:00 05/01/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [06:09:00 05/01/2010] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd
t0: [06:00:00 05/01/2010] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 05/01/2010] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 05/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 05/01/2010] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [06:00:00 05/01/2010] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [06:00:00 05/01/2010] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [06:00:00 05/01/2010] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 05/01/2010] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [06:00:00 05/01/2010] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [07:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [07:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [07:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 99.6667 u1: mmHg st: NotStopd t0: [07:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [07:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: ONCE fs: 8 dn: 1 m1: Warfarin f1: TAB v1: 5 u1: mg
t0: [08:00:00 05/01/2010] id: Pain Level el: 0 cu: CSRU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [08:00:00 05/01/2010] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 05/01/2010] id: Capillary Refill R/L el: 0 cu: CSRU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [08:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [08:00:00 05/01/2010] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 05/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 05/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 05/01/2010] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 05/01/2010] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [08:00:00 05/01/2010] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [08:00:00 05/01/2010] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 05/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 05/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [08:00:00 05/01/2010] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [08:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [08:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 05/01/2010] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 05/01/2010] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [08:00:00 05/01/2010] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 05/01/2010] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [08:00:00 05/01/2010] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [08:00:00 05/01/2010] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 05/01/2010] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 05/01/2010] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 05/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 05/01/2010] id: ImpSkin Character #2 el: 0 cu: CSRU cg: -1 v1: Blister st: NotStopd t0: [08:00:00 05/01/2010] id: ImpSkin Character #3 el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 05/01/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 05/01/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 05/01/2010] id: ImpSkin Treatment #2 el: 0 cu: CSRU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 05/01/2010] id: Impaired Skin Site#2 el: 0 cu: CSRU cg: -1 v1: Arm, Left Lower st: NotStopd t0: [08:00:00 05/01/2010] id: Impaired Skin Site#3 el: 0 cu: CSRU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [08:00:00 05/01/2010] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [08:00:00 05/01/2010] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 05/01/2010] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [08:00:00 05/01/2010] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 05/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 05/01/2010] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 150 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [08:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 100.667 u1: mmHg st: NotStopd t0: [08:00:00 05/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [08:00:00 05/01/2010] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 v1: Face Tent st: NotStopd t0: [08:00:00 05/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [08:00:00 05/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [08:00:00 05/01/2010] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 05/01/2010] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 05/01/2010] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 05/01/2010] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Movement/Turning st: NotStopd t0: [08:00:00 05/01/2010] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [08:00:00 05/01/2010] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Left Chest st: NotStopd t0: [08:00:00 05/01/2010] id: Pain Management el: 1 cu: CSRU cg: -1 v1: PO Med v2: Repositioned st: NotStopd t0: [08:00:00 05/01/2010] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Aching st: NotStopd t0: [08:00:00 05/01/2010] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 05/01/2010] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 05/01/2010] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: Independent st: NotStopd t0: [08:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 05/01/2010] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [08:00:00 05/01/2010] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 05/01/2010] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [08:00:00 05/01/2010] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 05/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [08:00:00 05/01/2010] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 05/01/2010] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 05/01/2010] id: Speech el: 0 cu: CSRU cg: -1 v1: Normal st: NotStopd t0: [08:00:00 05/01/2010] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [08:00:00 05/01/2010] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 05/01/2010] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [08:00:00 05/01/2010] id: Therapeutic Bed el: 0 cu: CSRU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 05/01/2010] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 05/01/2010] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 05/01/2010] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 05/01/2010] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 05/01/2010] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sleeping st: NotStopd t0: [08:00:00 05/01/2010] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [08:00:00 05/01/2010] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Chairfast st: NotStopd t0: [08:00:00 05/01/2010] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 05/01/2010] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 05/01/2010] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 05/01/2010] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [08:00:00 05/01/2010] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 16 u1: number st: NotStopd t0: [08:00:00 05/01/2010] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [09:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [09:00:00 05/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 05/01/2010] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [09:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [09:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 05/01/2010] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [09:00:00 05/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [09:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 58.6667 u1: mmHg st: NotStopd t0: [09:00:00 05/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [09:00:00 05/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [09:00:00 05/01/2010] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 05/01/2010] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [09:00:00 05/01/2010] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 93 u1: % st: NotStopd t0: [09:00:00 05/01/2010] id: Therapeutic Bed el: 0 cu: CSRU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 05/01/2010] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [09:00:00 05/01/2010] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 20 vu: ml t0: [08:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 10.2 vu: ml t0: [08:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 160 vu: ml t0: [09:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [09:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 5.1 vu: ml t0: [09:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml
t0: [08:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 05/01/2010] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [10:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [10:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 135 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 72.3333 u1: mmHg st: NotStopd t0: [10:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [10:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [10:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [10:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 8.5 vu: ml t0: [10:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml
t0: [10:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Furosemide f1: INJ v1: 10 u1: mg
t0: [08:00:00 05/01/2010] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [08:00:00 05/01/2010] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 05/01/2010] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 05/01/2010] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [08:00:00 05/01/2010] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [09:00:00 05/01/2010] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 05/01/2010] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thin st: NotStopd t0: [09:00:00 05/01/2010] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [10:00:00 05/01/2010] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 05/01/2010] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 05/01/2010] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 05/01/2010] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Moderate st: NotStopd t0: [11:00:00 05/01/2010] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [11:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [11:00:00 05/01/2010] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 05/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [11:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 05/01/2010] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 145 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [11:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 77.6667 u1: mmHg st: NotStopd t0: [11:00:00 05/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [11:00:00 05/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [11:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [11:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [11:00:00 05/01/2010] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [11:00:00 05/01/2010] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [11:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [11:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 8.5 vu: ml t0: [11:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml
t0: [11:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 05/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [12:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 126 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [12:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [12:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 05/01/2010] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.7778 u1: Deg. C st: NotStopd t0: [12:00:00 05/01/2010] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.2 u1: Deg. F st: NotStopd t0: [12:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 05/01/2010] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 179 rs: Manual st: NotStopd
t0: [12:00:00 05/01/2010] id: Capillary Refill R/L el: 0 cu: CSRU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [12:00:00 05/01/2010] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 05/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 05/01/2010] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 05/01/2010] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [12:00:00 05/01/2010] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 05/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 05/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [12:00:00 05/01/2010] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 05/01/2010] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [12:00:00 05/01/2010] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [12:00:00 05/01/2010] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [12:00:00 05/01/2010] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [12:00:00 05/01/2010] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 05/01/2010] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 05/01/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 05/01/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 05/01/2010] id: ImpSkin Treatment #2 el: 0 cu: CSRU cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 05/01/2010] id: Impaired Skin Site#2 el: 0 cu: CSRU cg: -1 v1: Arm, Left Lower st: NotStopd t0: [12:00:00 05/01/2010] id: Impaired Skin Site#3 el: 0 cu: CSRU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [12:00:00 05/01/2010] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [12:00:00 05/01/2010] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 05/01/2010] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [12:00:00 05/01/2010] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 05/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 05/01/2010] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 05/01/2010] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 05/01/2010] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 05/01/2010] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 05/01/2010] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [12:00:00 05/01/2010] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Exp Wheeze st: NotStopd t0: [12:00:00 05/01/2010] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [12:00:00 05/01/2010] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 05/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 05/01/2010] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 05/01/2010] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 05/01/2010] id: Speech el: 0 cu: CSRU cg: -1 v1: Normal st: NotStopd t0: [12:00:00 05/01/2010] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [12:00:00 05/01/2010] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 05/01/2010] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 05/01/2010] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 05/01/2010] id: Behavior el: 0 cu: CSRU cg: -1 v1: Anxious st: NotStopd t0: [12:00:00 05/01/2010] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [13:00:00 05/01/2010] id: Pain Level el: 0 cu: CSRU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [13:00:00 05/01/2010] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 05/01/2010] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [13:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [13:00:00 05/01/2010] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 05/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 05/01/2010] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [13:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [13:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 05/01/2010] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 05/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [13:00:00 05/01/2010] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 120 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [13:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [13:00:00 05/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [13:00:00 05/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [13:00:00 05/01/2010] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 05/01/2010] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [13:00:00 05/01/2010] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Movement/Turning st: NotStopd t0: [13:00:00 05/01/2010] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [13:00:00 05/01/2010] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Left Chest st: NotStopd t0: [13:00:00 05/01/2010] id: Pain Management el: 1 cu: CSRU cg: -1 v1: PO Med v2: Repositioned st: NotStopd t0: [13:00:00 05/01/2010] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Constant st: NotStopd t0: [13:00:00 05/01/2010] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [13:00:00 05/01/2010] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 05/01/2010] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [13:00:00 05/01/2010] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [13:00:00 05/01/2010] id: Therapeutic Bed el: 0 cu: CSRU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [13:00:00 05/01/2010] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [13:00:00 05/01/2010] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [12:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 8.5 vu: ml t0: [12:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml t0: [13:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [13:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 4.25 vu: ml t0: [13:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml
t0: [13:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/01/2010] dt: 24 id: PO/Gastric In Total el: 3 cu: -1 cg: -1 cv: 130 ap: none
t0: [14:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [14:00:00 05/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [14:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 129 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [14:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [14:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [14:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 4.25 vu: ml t0: [14:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml
t0: [14:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 05/01/2010] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [15:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 05/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [15:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [15:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [15:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [15:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [15:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 4.25 vu: ml t0: [15:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml
t0: [15:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/01/2010] dt: 1 id: Total Hourly Output el: 3 cu: -1 cg: -1 cv: 0 ap: none t0: [23:00:00 05/01/2010] dt: 24 id: Urine Out Total el: 3 cu: -1 cg: -1 cv: 950 ap: none t0: [23:00:00 05/01/2010] dt: 24 id: 24h Total Out el: 3 cu: -1 cg: -1 cv: 950 ap: none
t0: [16:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 05/01/2010] id: Capillary Refill R/L el: 0 cu: CSRU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [16:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 05/01/2010] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [16:00:00 05/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 05/01/2010] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 05/01/2010] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [16:00:00 05/01/2010] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 05/01/2010] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 05/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [16:00:00 05/01/2010] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [16:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 05/01/2010] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 05/01/2010] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [16:00:00 05/01/2010] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [16:00:00 05/01/2010] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [16:00:00 05/01/2010] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [16:00:00 05/01/2010] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 05/01/2010] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 05/01/2010] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 05/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 05/01/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 05/01/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 05/01/2010] id: ImpSkin Treatment #2 el: 0 cu: CSRU cg: -1 v1: Open to Air st: NotStopd t0: [16:00:00 05/01/2010] id: ImpSkin Treatment #3 el: 0 cu: CSRU cg: -1 st: NotStopd t0: [16:00:00 05/01/2010] id: Impaired Skin Site#2 el: 0 cu: CSRU cg: -1 v1: Arm, Left Lower st: NotStopd t0: [16:00:00 05/01/2010] id: Impaired Skin Site#3 el: 0 cu: CSRU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [16:00:00 05/01/2010] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [16:00:00 05/01/2010] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 05/01/2010] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [16:00:00 05/01/2010] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 05/01/2010] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 05/01/2010] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 131 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 74.3333 u1: mmHg st: NotStopd t0: [16:00:00 05/01/2010] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 05/01/2010] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 05/01/2010] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 05/01/2010] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves st: NotStopd t0: [16:00:00 05/01/2010] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 05/01/2010] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: Independent st: NotStopd t0: [16:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 05/01/2010] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [16:00:00 05/01/2010] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 05/01/2010] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Normal Strength st: NotStopd t0: [16:00:00 05/01/2010] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 05/01/2010] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [16:00:00 05/01/2010] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 05/01/2010] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 05/01/2010] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [16:00:00 05/01/2010] id: Speech el: 0 cu: CSRU cg: -1 v1: Normal st: NotStopd t0: [16:00:00 05/01/2010] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [16:00:00 05/01/2010] id: Therapeutic Bed el: 0 cu: CSRU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 05/01/2010] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 05/01/2010] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 05/01/2010] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 05/01/2010] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 05/01/2010] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 05/01/2010] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sleeping st: NotStopd t0: [16:00:00 05/01/2010] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [16:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 05/01/2010] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [15:00:00 05/01/2010] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 05/01/2010] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 05/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [15:00:00 05/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [15:00:00 05/01/2010] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thin st: NotStopd t0: [15:00:00 05/01/2010] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [17:00:00 05/01/2010] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [17:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [17:00:00 05/01/2010] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 05/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [17:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 05/01/2010] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 05/01/2010] id: NBP el: 0 cu: CSRU cg: -1 v1: 126 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:00:00 05/01/2010] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 05/01/2010] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [17:00:00 05/01/2010] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 v1: Face Tent st: NotStopd t0: [17:00:00 05/01/2010] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [17:00:00 05/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [17:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [17:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [17:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 05/01/2010] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [16:00:00 05/01/2010] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [18:00:00 05/01/2010] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [18:00:00 05/01/2010] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 05/01/2010] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 05/01/2010] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 05/01/2010] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [18:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 05/01/2010] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [18:00:00 05/01/2010] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [18:00:00 05/01/2010] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [16:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 4.25 vu: ml t0: [16:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml t0: [17:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [17:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 4.25 vu: ml t0: [17:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml t0: [18:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [18:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 4.25 vu: ml t0: [18:00:00 05/01/2010] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 115 vo: 80 vu: ml
t0: [18:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 05/01/2010] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/01/2010] dt: 1 id: Net Hourly Balance el: 3 cu: -1 cg: -1 cv: 0 ap: none t0: [23:00:00 05/01/2010] dt: 24 id: IV Infusion In Total el: 3 cu: -1 cg: -1 cv: 296.05 ap: none t0: [23:00:00 05/01/2010] dt: 24 id: 24h Total In el: 3 cu: -1 cg: -1 cv: 2026.05 ap: none t0: [23:00:00 05/01/2010] dt: 24 id: Tube Feeds In Total el: 3 cu: -1 cg: -1 cv: 1600 ap: none t0: [23:00:00 05/01/2010] dt: 24 id: 24h Net Body Balance el: 3 cu: -1 cg: -1 cv: 1076.05 ap: none t0: [23:00:00 05/01/2010] dt: multiple days id: LOS Net Body Balance el: 3 cu: -1 cg: -1 cv: 896.775 ap: carryForward
t0: [17:00:00 05/01/2010] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [17:00:00 05/01/2010] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [17:00:00 05/01/2010] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 05/01/2010] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [17:00:00 05/01/2010] id: Therapeutic Bed el: 0 cu: CSRU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 05/01/2010] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd
t0: [18:00:00 05/01/2010] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 161 rs: Manual st: NotStopd
tf: [19:08:00 09/01/2010] dt: 5769 cu: CCU di: Deceased
t0: [19:00:00 05/01/2010] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [19:00:00 05/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 05/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [19:00:00 05/01/2010] id: Cough/Deep Breathe el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [19:00:00 05/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [19:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [19:00:00 05/01/2010] id: HOB el: 0 cu: CCU cg: -1 v1: 90 degrees st: NotStopd t0: [19:00:00 05/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [19:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 05/01/2010] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [19:00:00 05/01/2010] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [19:00:00 05/01/2010] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [19:00:00 05/01/2010] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [19:00:00 05/01/2010] id: Activity el: 0 cu: CCU cg: -1 v1: Chair st: NotStopd t0: [19:00:00 05/01/2010] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [19:00:00 05/01/2010] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [19:00:00 05/01/2010] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [19:00:00 05/01/2010] id: Incentive Spirometry el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [19:00:00 05/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 120 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [19:00:00 05/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [19:00:00 05/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [19:00:00 05/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [19:00:00 05/01/2010] id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [19:00:00 05/01/2010] id: Pain Location el: 0 cu: CCU cg: -1 v1: Not Indicated st: NotStopd t0: [19:00:00 05/01/2010] id: Pain Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [19:00:00 05/01/2010] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 1 Person Assist st: NotStopd t0: [19:00:00 05/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [19:00:00 05/01/2010] id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [19:00:00 05/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [19:00:00 05/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [19:00:00 05/01/2010] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [19:00:00 05/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 05/01/2010] tf: [19:08:00 09/01/2010] dt: 5768 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 10 vu: ml t0: [19:00:00 05/01/2010] tf: [08:00:00 07/01/2010] dt: 2220 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 4.25 vu: ml
t0: [19:00:00 05/01/2010] tf: [19:08:00 09/01/2010] dt: 5768 id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 05/01/2010] tf: [08:00:00 07/01/2010] dt: 2220 id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.294118 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 05/01/2010] id: Chest Tube Site #1 el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 05/01/2010] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 05/01/2010] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 05/01/2010] id: Angio Site #1 el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 05/01/2010] id: CT #1 Crepitus el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 05/01/2010] id: CT #1 Dressing el: 0 cu: CCU cg: -1 st: D/C'd
t0: [20:00:00 05/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 05/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 05/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 05/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [20:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 05/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 130 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [20:00:00 05/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [20:00:00 05/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [20:00:00 05/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [20:00:00 05/01/2010] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 05/01/2010] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.5 u1: Deg. C st: NotStopd t0: [20:00:00 05/01/2010] id: Temperature F el: 0 cu: CCU cg: -1 v1: 97.7 u1: Deg. F st: NotStopd t0: [20:00:00 05/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.294118 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 05/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 05/01/2010] id: Capillary Refill R/L el: 0 cu: CCU cg: -1 v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [20:00:00 05/01/2010] id: Diet Type el: 0 cu: CCU cg: -1 v1: NPO st: NotStopd t0: [20:00:00 05/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 05/01/2010] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 05/01/2010] id: Family Communication el: 0 cu: CCU cg: -1 v1: Fam Talked to RN st: NotStopd t0: [20:00:00 05/01/2010] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [20:00:00 05/01/2010] id: GCS Total el: 0 cu: CCU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 05/01/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 05/01/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [20:00:00 05/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: -1 v1: Feeding st: NotStopd t0: [20:00:00 05/01/2010] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 05/01/2010] id: HOB el: 0 cu: CCU cg: -1 v1: 90 degrees st: NotStopd t0: [20:00:00 05/01/2010] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft Distended st: NotStopd t0: [20:00:00 05/01/2010] id: Activity el: 0 cu: CCU cg: -1 v1: Chair st: NotStopd t0: [20:00:00 05/01/2010] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 05/01/2010] tf: [19:08:00 09/01/2010] dt: 5708 id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: -1 v1: Soap & H20 st: NotStopd t0: [20:00:00 05/01/2010] tf: [19:08:00 09/01/2010] dt: 5708 id: Imp Skin Cleanse #3 el: 0 cu: CCU cg: -1 v1: Soap & H20 st: NotStopd t0: [20:00:00 05/01/2010] id: ImpSkin Character #2 el: 0 cu: CCU cg: -1 v1: Abrasion st: NotStopd t0: [20:00:00 05/01/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: -1 v1: Abrasion st: NotStopd t0: [20:00:00 05/01/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 05/01/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 05/01/2010] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 05/01/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 05/01/2010] id: Impaired Skin Site#2 el: 0 cu: CCU cg: -1 v1: Arm, Left Lower st: NotStopd t0: [20:00:00 05/01/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [20:00:00 05/01/2010] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [20:00:00 05/01/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 05/01/2010] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [20:00:00 05/01/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 05/01/2010] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 05/01/2010] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 05/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [20:00:00 05/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [20:00:00 05/01/2010] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 05/01/2010] id: Orientation el: 0 cu: CCU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 05/01/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 05/01/2010] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 1 Person Assist st: NotStopd t0: [20:00:00 05/01/2010] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 05/01/2010] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [20:00:00 05/01/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 05/01/2010] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [20:00:00 05/01/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 05/01/2010] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 05/01/2010] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 05/01/2010] id: Speech el: 0 cu: CCU cg: -1 v1: Normal st: NotStopd t0: [20:00:00 05/01/2010] id: Support Systems el: 0 cu: CCU cg: -1 v1: Children st: NotStopd t0: [20:00:00 05/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 05/01/2010] id: Urine Source el: 0 cu: CCU cg: -1 v1: Voids st: NotStopd t0: [20:00:00 05/01/2010] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 05/01/2010] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [20:00:00 05/01/2010] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Walks Occasional st: NotStopd t0: [20:00:00 05/01/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 05/01/2010] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 05/01/2010] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 05/01/2010] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 05/01/2010] id: Braden Score el: 0 cu: CCU cg: -1 v1: 16 u1: number st: NotStopd t0: [20:00:00 05/01/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:30:00 05/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [20:30:00 05/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [20:30:00 05/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:30:00 05/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [20:30:00 05/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:30:00 05/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 119 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [20:30:00 05/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [20:30:00 05/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [20:30:00 05/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [20:30:00 05/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [20:30:00 05/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:30:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 05/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 05/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 05/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [21:00:00 05/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [21:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 05/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 130 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [21:00:00 05/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 68.6667 u1: mmHg st: NotStopd t0: [21:00:00 05/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [21:00:00 05/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [21:00:00 05/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 05/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [22:00:00 05/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 05/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 05/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [22:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [22:00:00 05/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [22:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 05/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 136 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [22:00:00 05/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [22:00:00 05/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [22:00:00 05/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [22:00:00 05/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 05/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 05/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 05/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 05/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [23:00:00 05/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 05/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 134 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [23:00:00 05/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [23:00:00 05/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 05/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [23:00:00 05/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [23:00:00 05/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 10 vu: ml t0: [20:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 5 vu: ml t0: [21:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 10 vu: ml t0: [21:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 5.475 vu: ml t0: [22:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 10 vu: ml t0: [22:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 5.95 vu: ml t0: [23:00:00 05/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 10 vu: ml t0: [23:00:00 05/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 5.95 vu: ml
t0: [22:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 05/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 05/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 05/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/01/2010] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: -1 pv: 15.95 cv: 372.675 ap: none t0: [23:00:00 05/01/2010] dt: 24 id: 24h Total In el: 1 cu: CCU cg: -1 pv: 95.95 cv: 2502.68 ap: none t0: [23:00:00 05/01/2010] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: -1 pv: 80 cv: 2000 ap: none
t0: [23:00:00 05/01/2010] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: -1 cv: 0 ap: none t0: [23:00:00 05/01/2010] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: -1 pv: 95.95 cv: 95.95 ap: none t0: [23:00:00 05/01/2010] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: -1 cv: 1100 ap: none t0: [23:00:00 05/01/2010] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: -1 pv: 95.95 cv: 1402.67 ap: none t0: [23:00:00 05/01/2010] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: -1 cv: 1100 ap: none t0: [23:00:00 05/01/2010] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: -1 pv: 95.95 cv: 1223.4 ap: carryForward
t0: [20:00:00 05/01/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 05/01/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 06/01/2010] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [00:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 06/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 06/01/2010] id: Diet Type el: 0 cu: CCU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 06/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 06/01/2010] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 06/01/2010] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [00:00:00 06/01/2010] id: GCS Total el: 0 cu: CCU cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 06/01/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 06/01/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 06/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: -1 v1: Feeding st: NotStopd t0: [00:00:00 06/01/2010] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 06/01/2010] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [00:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 06/01/2010] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft Distended st: NotStopd t0: [00:00:00 06/01/2010] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [00:00:00 06/01/2010] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [00:00:00 06/01/2010] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [00:00:00 06/01/2010] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [00:00:00 06/01/2010] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 06/01/2010] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 06/01/2010] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 06/01/2010] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 06/01/2010] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [00:00:00 06/01/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 06/01/2010] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [00:00:00 06/01/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 06/01/2010] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 06/01/2010] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 145 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 79.6667 u1: mmHg st: NotStopd t0: [00:00:00 06/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [00:00:00 06/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [00:00:00 06/01/2010] id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 06/01/2010] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 06/01/2010] id: Orientation el: 0 cu: CCU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 06/01/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 06/01/2010] id: Pain Location el: 0 cu: CCU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 06/01/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 06/01/2010] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 06/01/2010] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 06/01/2010] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [00:00:00 06/01/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 06/01/2010] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [00:00:00 06/01/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 06/01/2010] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 06/01/2010] id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [00:00:00 06/01/2010] id: Speech el: 0 cu: CCU cg: -1 v1: Normal st: NotStopd t0: [00:00:00 06/01/2010] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.1111 u1: Deg. C st: NotStopd t0: [00:00:00 06/01/2010] id: Temperature F el: 0 cu: CCU cg: -1 v1: 97 u1: Deg. F st: NotStopd t0: [00:00:00 06/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 06/01/2010] id: Turn el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 06/01/2010] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [00:00:00 06/01/2010] id: Urine Source el: 0 cu: CCU cg: -1 v1: Voids st: NotStopd t0: [00:00:00 06/01/2010] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 06/01/2010] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 06/01/2010] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd
t0: [00:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 10 vu: ml t0: [00:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 5.95 vu: ml
t0: [00:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 06/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 06/01/2010] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 190 ap: none
t0: [00:30:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 5 vu: ml t0: [00:30:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 2.975 vu: ml
t0: [23:00:00 06/01/2010] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: -1 cv: 0 ap: none t0: [23:00:00 06/01/2010] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: -1 pv: 95.95 cv: 95.95 ap: none t0: [23:00:00 06/01/2010] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: -1 pv: 15.95 cv: 537.5 ap: none t0: [23:00:00 06/01/2010] dt: 24 id: 24h Total In el: 1 cu: CCU cg: -1 pv: 95.95 cv: 2327.5 ap: none t0: [23:00:00 06/01/2010] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: -1 pv: 80 cv: 1600 ap: none t0: [23:00:00 06/01/2010] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: -1 cv: 1150 ap: carryForward t0: [23:00:00 06/01/2010] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: -1 pv: 95.95 cv: 1177.5 ap: carryForward t0: [23:00:00 06/01/2010] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: -1 cv: 1150 ap: carryForward t0: [23:00:00 06/01/2010] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: -1 pv: 95.95 cv: 2400.9 ap: carryForward
t0: [01:00:00 06/01/2010] id: Pain Present el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 06/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: -1 v1: Agitated st: NotStopd t0: [01:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [01:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 160 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [01:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 88.6667 u1: mmHg st: NotStopd t0: [01:00:00 06/01/2010] id: Pain Location el: 0 cu: CCU cg: -1 v1: Back st: NotStopd t0: [01:00:00 06/01/2010] id: Pain Type el: 0 cu: CCU cg: -1 v1: Aching st: NotStopd t0: [01:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [01:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 92 u1: % st: NotStopd t0: [01:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 06/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 06/01/2010] id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: -1 v1: Soap & H20 st: NotStopd t0: [00:00:00 06/01/2010] id: Imp Skin Cleanse #3 el: 0 cu: CCU cg: -1 v1: Soap & H20 st: NotStopd t0: [00:00:00 06/01/2010] id: ImpSkin Character #2 el: 0 cu: CCU cg: -1 v1: Abrasion st: NotStopd t0: [00:00:00 06/01/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: -1 v1: Abrasion st: NotStopd t0: [00:00:00 06/01/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 06/01/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 06/01/2010] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 06/01/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 06/01/2010] id: Impaired Skin Site#2 el: 0 cu: CCU cg: -1 v1: Arm, Left Lower st: NotStopd t0: [00:00:00 06/01/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [00:00:00 06/01/2010] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 06/01/2010] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 06/01/2010] id: Support Systems el: 0 cu: CCU cg: -1 v1: Children st: NotStopd
t0: [02:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [02:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 162 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [02:00:00 06/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: -1 v1: Face Tent st: NotStopd t0: [02:00:00 06/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [02:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [02:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 06/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:30:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [02:30:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [02:30:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [02:30:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:30:00 06/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 149 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:30:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 82.3333 u1: mmHg st: NotStopd t0: [02:30:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [02:30:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [02:30:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:30:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:30:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:30:00 06/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 06/01/2010] id: Arterial BP el: 0 cu: CCU cg: -1 st: D/C'd t0: [03:00:00 06/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: -1 st: D/C'd t0: [03:00:00 06/01/2010] id: QTc el: 0 cu: CCU cg: -1 st: D/C'd
t0: [03:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [03:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 149 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [03:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 111.667 u1: mmHg st: NotStopd t0: [03:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [03:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 25 vu: ml t0: [03:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 59.925 vu: ml
t0: [03:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 06/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 06/01/2010] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: -1 v1: 157 rs: Manual st: NotStopd
t0: [02:00:00 06/01/2010] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 06/01/2010] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 06/01/2010] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 06/01/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 06/01/2010] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 06/01/2010] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 1 Person Assist st: NotStopd t0: [02:00:00 06/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 06/01/2010] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd
t0: [04:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [04:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 138 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [04:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 06/01/2010] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 06/01/2010] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 35.9444 u1: Deg. C st: NotStopd t0: [04:00:00 06/01/2010] id: Temperature F el: 0 cu: CCU cg: -1 v1: 96.7 u1: Deg. F st: NotStopd t0: [04:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 06/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [05:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 132 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [05:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [05:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [05:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 06/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 06/01/2010] id: Capillary Refill R/L el: 0 cu: CCU cg: -1 st: NotStopd t0: [02:00:00 06/01/2010] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [02:00:00 06/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: -1 st: NotStopd t0: [02:00:00 06/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 u1: lpm st: NotStopd t0: [04:00:00 06/01/2010] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [04:00:00 06/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 06/01/2010] id: Diet Type el: 0 cu: CCU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 06/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 06/01/2010] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 06/01/2010] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 06/01/2010] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [04:00:00 06/01/2010] id: GCS Total el: 0 cu: CCU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 06/01/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 06/01/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 06/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: -1 v1: Feeding st: NotStopd t0: [04:00:00 06/01/2010] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 06/01/2010] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 06/01/2010] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft Distended st: NotStopd t0: [04:00:00 06/01/2010] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [04:00:00 06/01/2010] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [04:00:00 06/01/2010] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [04:00:00 06/01/2010] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [04:00:00 06/01/2010] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 06/01/2010] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 06/01/2010] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 06/01/2010] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 06/01/2010] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [04:00:00 06/01/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 06/01/2010] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [04:00:00 06/01/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 06/01/2010] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 06/01/2010] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 06/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: -1 v1: Face Tent st: NotStopd t0: [04:00:00 06/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [04:00:00 06/01/2010] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 06/01/2010] id: Orientation el: 0 cu: CCU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 06/01/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 06/01/2010] id: Pain Location el: 0 cu: CCU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 06/01/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 06/01/2010] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 1 Person Assist st: NotStopd t0: [04:00:00 06/01/2010] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 06/01/2010] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [04:00:00 06/01/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 06/01/2010] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [04:00:00 06/01/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 06/01/2010] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 06/01/2010] id: Speech el: 0 cu: CCU cg: -1 v1: Normal st: NotStopd t0: [04:00:00 06/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 06/01/2010] id: Turn el: 0 cu: CCU cg: -1 v1: Turns by self st: NotStopd t0: [04:00:00 06/01/2010] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [04:00:00 06/01/2010] id: Urine Source el: 0 cu: CCU cg: -1 v1: Voids st: NotStopd t0: [04:00:00 06/01/2010] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 06/01/2010] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd
t0: [05:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 20 vu: ml t0: [05:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 102 vu: ml
t0: [06:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [06:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [06:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 147 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [06:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 78.3333 u1: mmHg st: NotStopd t0: [06:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [06:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [06:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 06/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 06/01/2010] id: Diet Type el: 0 cu: CCU cg: -1 v1: NPO st: NotStopd t0: [07:00:00 06/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [07:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [07:00:00 06/01/2010] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [07:00:00 06/01/2010] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [07:00:00 06/01/2010] id: GCS Total el: 0 cu: CCU cg: -1 v1: 15 u1: points st: NotStopd t0: [07:00:00 06/01/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [07:00:00 06/01/2010] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [07:00:00 06/01/2010] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [07:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [07:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 06/01/2010] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [07:00:00 06/01/2010] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [07:00:00 06/01/2010] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [07:00:00 06/01/2010] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [07:00:00 06/01/2010] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [07:00:00 06/01/2010] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [07:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 132 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [07:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [07:00:00 06/01/2010] id: Orientation el: 0 cu: CCU cg: -1 v1: Oriented x 3 st: NotStopd t0: [07:00:00 06/01/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [07:00:00 06/01/2010] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [07:00:00 06/01/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [07:00:00 06/01/2010] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 1 Person Assist st: NotStopd t0: [07:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 06/01/2010] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [07:00:00 06/01/2010] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [07:00:00 06/01/2010] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [07:00:00 06/01/2010] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [07:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [07:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [07:00:00 06/01/2010] id: Speech el: 0 cu: CCU cg: -1 v1: Normal st: NotStopd t0: [07:00:00 06/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [07:00:00 06/01/2010] id: Turn el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [07:00:00 06/01/2010] id: Urine Source el: 0 cu: CCU cg: -1 v1: Voids st: NotStopd t0: [07:00:00 06/01/2010] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 5 Oriented st: NotStopd t0: [07:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 20 vu: ml t0: [07:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 55.25 vu: ml
t0: [07:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 06/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 06/01/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.1 rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 27.5 u1: % rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 8.9 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 405 rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.06 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.1 rs: Final st: NotStopd
t0: [06:00:00 06/01/2010] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1 rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 12.2 rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 36.7 rs: Final st: NotStopd
t0: [06:00:00 06/01/2010] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 6.4 u1: mg/dl rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 36 rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 101 rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.6 rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 166 rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd t0: [06:00:00 06/01/2010] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 144 rs: Final st: NotStopd
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: ONCE fs: 8 dn: 1 m1: Warfarin f1: TAB v1: 5 u1: mg
t0: [08:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 06/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 06/01/2010] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [08:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 06/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 06/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [08:00:00 06/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [08:00:00 06/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: RN v1: 12 u1: lpm st: NotStopd t0: [08:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 06/01/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 06/01/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.6667 u1: Deg. C st: NotStopd t0: [08:00:00 06/01/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.2 u1: Deg. F st: NotStopd t0: [08:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [08:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 4.25 vu: ml
t0: [08:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 06/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 06/01/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 06/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 06/01/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 06/01/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 06/01/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 06/01/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 06/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 06/01/2010] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 06/01/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 06/01/2010] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 06/01/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Arm, Right Lower st: NotStopd t0: [08:00:00 06/01/2010] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 06/01/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 06/01/2010] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 06/01/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/01/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 06/01/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 158 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 84.6667 u1: mmHg st: NotStopd t0: [08:00:00 06/01/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 06/01/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 06/01/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 06/01/2010] id: Pupil Size R/L el: 0 cu: CCU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 06/01/2010] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 06/01/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 06/01/2010] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 06/01/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/01/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 06/01/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 06/01/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 06/01/2010] id: Speech el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [08:00:00 06/01/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [08:00:00 06/01/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 06/01/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [08:00:00 06/01/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 06/01/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [09:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 06/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [09:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 133 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [09:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 74.3333 u1: mmHg st: NotStopd t0: [09:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [09:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 4.25 vu: ml t0: [09:00:00 06/01/2010] id: Urine Out Incontinent el: 1 cu: CCU cg: RN vu: ml es: Large
t0: [09:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 06/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 06/01/2010] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [08:00:00 06/01/2010] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 9 st: NotStopd t0: [08:00:00 06/01/2010] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 06/01/2010] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 9 st: NotStopd t0: [08:00:00 06/01/2010] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [08:00:00 06/01/2010] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/01/2010] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/01/2010] id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 06/01/2010] id: Imp Skin Cleanse #3 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 06/01/2010] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 06/01/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 06/01/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 06/01/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 06/01/2010] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 06/01/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 06/01/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Anxious st: NotStopd t0: [08:00:00 06/01/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Chairfast st: NotStopd t0: [08:00:00 06/01/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 06/01/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 06/01/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 06/01/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 06/01/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 06/01/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [10:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 06/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 65 u1: BPM st: NotStopd t0: [10:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 143 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [10:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [10:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 4.25 vu: ml
t0: [10:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 06/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 06/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 66 u1: BPM st: NotStopd t0: [11:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [11:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 79.3333 u1: mmHg st: NotStopd t0: [11:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [11:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [11:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 4.25 vu: ml
t0: [11:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 06/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 06/01/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/01/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/01/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 06/01/2010] id: Activity el: 0 cu: CCU cg: RN v1: Chair st: NotStopd t0: [10:00:00 06/01/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [10:00:00 06/01/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [10:00:00 06/01/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: Walker st: NotStopd t0: [12:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 06/01/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 06/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 06/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 06/01/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 06/01/2010] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 06/01/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 06/01/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 06/01/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 06/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 06/01/2010] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [12:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 66 u1: BPM st: NotStopd t0: [12:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 06/01/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [12:00:00 06/01/2010] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 9 st: NotStopd t0: [12:00:00 06/01/2010] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [12:00:00 06/01/2010] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 9 st: NotStopd t0: [12:00:00 06/01/2010] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [12:00:00 06/01/2010] id: Activity el: 0 cu: CCU cg: RN v1: Chair st: NotStopd t0: [12:00:00 06/01/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [12:00:00 06/01/2010] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [12:00:00 06/01/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Arm, Right Lower st: NotStopd t0: [12:00:00 06/01/2010] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 06/01/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 06/01/2010] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 06/01/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 06/01/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [12:00:00 06/01/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [12:00:00 06/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [12:00:00 06/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: RN v1: 12 u1: lpm st: NotStopd t0: [12:00:00 06/01/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 06/01/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 06/01/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 06/01/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 06/01/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 06/01/2010] id: Pupil Size R/L el: 0 cu: CCU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 06/01/2010] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 06/01/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 06/01/2010] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 06/01/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 06/01/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 06/01/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 06/01/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 06/01/2010] id: Speech el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [12:00:00 06/01/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [12:00:00 06/01/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:00:00 06/01/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [12:00:00 06/01/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [12:00:00 06/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 06/01/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 06/01/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [12:00:00 06/01/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 06/01/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [12:00:00 06/01/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 132 rs: Manual st: NotStopd t0: [12:00:00 06/01/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [12:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [12:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 4.25 vu: ml
t0: [12:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 06/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 06/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 63 u1: BPM st: NotStopd t0: [13:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 135 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [13:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [13:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 4.25 vu: ml
t0: [13:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 06/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 06/01/2010] tf: [19:08:00 09/01/2010] dt: 5108 id: Cholesterol (<200) Chemistry el: 0 cu: CCU cg: 140 v1: 157 u1: mg/dl rs: Final st: NotStopd t0: [06:00:00 06/01/2010] tf: [19:08:00 09/01/2010] dt: 5108 id: Triglyceride (0-200) Chemistry el: 0 cu: CCU cg: 140 v1: 281 rs: Final st: NotStopd
t0: [14:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 06/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 63 u1: BPM st: NotStopd t0: [14:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 138 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [14:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [14:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 4.25 vu: ml
t0: [14:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 06/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 06/01/2010] id: Pain Level el: 0 cu: CCU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [20:00:00 06/01/2010] id: Pain Present el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 06/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: -1 v1: Very Agitated st: NotStopd t0: [20:00:00 06/01/2010] id: Diet Type el: 0 cu: CCU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 06/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 06/01/2010] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 06/01/2010] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [20:00:00 06/01/2010] id: GCS Total el: 0 cu: CCU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 06/01/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 06/01/2010] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 06/01/2010] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [20:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 06/01/2010] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft Distended st: NotStopd t0: [20:00:00 06/01/2010] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [20:00:00 06/01/2010] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:00:00 06/01/2010] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [20:00:00 06/01/2010] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [20:00:00 06/01/2010] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 06/01/2010] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 06/01/2010] id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: -1 v1: Soap & H20 st: NotStopd t0: [20:00:00 06/01/2010] id: ImpSkin Character #2 el: 0 cu: CCU cg: -1 v1: Abrasion st: NotStopd t0: [20:00:00 06/01/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 06/01/2010] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 06/01/2010] id: Impaired Skin Site#2 el: 0 cu: CCU cg: -1 v1: Arm, Left Lower st: NotStopd t0: [20:00:00 06/01/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [20:00:00 06/01/2010] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [20:00:00 06/01/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 06/01/2010] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [20:00:00 06/01/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 06/01/2010] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 06/01/2010] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 128 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 06/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [20:00:00 06/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: -1 v1: Face Tent st: NotStopd t0: [20:00:00 06/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [20:00:00 06/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [20:00:00 06/01/2010] id: Orientation el: 0 cu: CCU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 06/01/2010] id: Pain Cause el: 0 cu: CCU cg: -1 v1: At Rest st: NotStopd t0: [20:00:00 06/01/2010] id: Pain Level (Rest) el: 0 cu: CCU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [20:00:00 06/01/2010] id: Pain Location el: 0 cu: CCU cg: -1 v1: Back st: NotStopd t0: [20:00:00 06/01/2010] id: Pain Management el: 1 cu: CCU cg: -1 v1: PO Med st: NotStopd t0: [20:00:00 06/01/2010] id: Pain Type el: 0 cu: CCU cg: -1 v1: Aching st: NotStopd t0: [20:00:00 06/01/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 06/01/2010] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 06/01/2010] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [20:00:00 06/01/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 06/01/2010] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [20:00:00 06/01/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 06/01/2010] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [20:00:00 06/01/2010] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 06/01/2010] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 92 u1: % st: NotStopd t0: [20:00:00 06/01/2010] id: Speech el: 0 cu: CCU cg: -1 v1: Normal st: NotStopd t0: [20:00:00 06/01/2010] id: Support Systems el: 0 cu: CCU cg: -1 v1: Children st: NotStopd t0: [20:00:00 06/01/2010] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 06/01/2010] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.1111 u1: Deg. C st: NotStopd t0: [20:00:00 06/01/2010] id: Temperature F el: 0 cu: CCU cg: -1 v1: 97 u1: Deg. F st: NotStopd t0: [20:00:00 06/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 06/01/2010] id: Turn el: 0 cu: CCU cg: -1 v1: Turns by self st: NotStopd t0: [20:00:00 06/01/2010] id: Urine Source el: 0 cu: CCU cg: -1 v1: Voids st: NotStopd t0: [20:00:00 06/01/2010] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 06/01/2010] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [21:00:00 06/01/2010] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [21:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 06/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [21:00:00 06/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [21:00:00 06/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [21:00:00 06/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [21:00:00 06/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 06/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 130 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [21:00:00 06/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [21:00:00 06/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [21:00:00 06/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [21:00:00 06/01/2010] id: Pain Location el: 0 cu: CCU cg: -1 v1: Not Indicated st: NotStopd t0: [21:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 06/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [21:00:00 06/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [21:00:00 06/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 06/01/2010] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 06/01/2010] id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [22:00:00 06/01/2010] id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [22:00:00 06/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 06/01/2010] id: Turn el: 0 cu: CCU cg: -1 v1: Turns by self st: NotStopd t0: [22:00:00 06/01/2010] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd
t0: [19:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 50 vu: ml t0: [19:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 21.25 vu: ml t0: [20:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 10 vu: ml t0: [20:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 4.25 vu: ml t0: [21:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 10 vu: ml t0: [21:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 4.25 vu: ml t0: [21:00:00 06/01/2010] id: Urine Out Incontinent el: 1 cu: CCU cg: -1 vu: ml es: Medium t0: [22:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 10 vu: ml t0: [22:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 5.95 vu: ml
t0: [20:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 06/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 06/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 06/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 06/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 06/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 07/01/2010] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [00:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 07/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: -1 v1: Agitated st: NotStopd t0: [00:00:00 07/01/2010] id: Diet Type el: 0 cu: CCU cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 07/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 07/01/2010] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 07/01/2010] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 07/01/2010] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [00:00:00 07/01/2010] id: GCS Total el: 0 cu: CCU cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 07/01/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 07/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: -1 v1: Feeding st: NotStopd t0: [00:00:00 07/01/2010] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 07/01/2010] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [00:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 07/01/2010] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft Distended st: NotStopd t0: [00:00:00 07/01/2010] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [00:00:00 07/01/2010] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [00:00:00 07/01/2010] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 11 v2: 9 st: NotStopd t0: [00:00:00 07/01/2010] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [00:00:00 07/01/2010] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 07/01/2010] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 07/01/2010] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [00:00:00 07/01/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 07/01/2010] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [00:00:00 07/01/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 07/01/2010] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 07/01/2010] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 132 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [00:00:00 07/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [00:00:00 07/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: -1 v1: Face Tent st: NotStopd t0: [00:00:00 07/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [00:00:00 07/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [00:00:00 07/01/2010] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 07/01/2010] id: Orientation el: 0 cu: CCU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 07/01/2010] id: Pain Location el: 0 cu: CCU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 07/01/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 07/01/2010] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 07/01/2010] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [00:00:00 07/01/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 07/01/2010] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [00:00:00 07/01/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 07/01/2010] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [00:00:00 07/01/2010] id: Speech el: 0 cu: CCU cg: -1 v1: Normal st: NotStopd t0: [00:00:00 07/01/2010] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 07/01/2010] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [00:00:00 07/01/2010] id: Temperature F el: 0 cu: CCU cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [00:00:00 07/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 07/01/2010] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [00:00:00 07/01/2010] id: Urine Source el: 0 cu: CCU cg: -1 v1: Voids st: NotStopd t0: [00:00:00 07/01/2010] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 07/01/2010] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [01:00:00 07/01/2010] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [01:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 07/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [01:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 61 u1: BPM st: NotStopd t0: [01:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 135 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [01:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 71.6667 u1: mmHg st: NotStopd t0: [01:00:00 07/01/2010] id: Pain Location el: 0 cu: CCU cg: -1 v1: Not Indicated st: NotStopd t0: [01:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [01:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [01:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 06/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 10 vu: ml t0: [23:00:00 06/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 5.95 vu: ml t0: [00:00:00 07/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 10 vu: ml t0: [00:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 5.95 vu: ml t0: [01:00:00 07/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 10 vu: ml t0: [01:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 5.95 vu: ml t0: [02:00:00 07/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 10 vu: ml t0: [02:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 5.95 vu: ml
t0: [22:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 06/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 06/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 06/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 07/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 07/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [02:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 135 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [02:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 71.6667 u1: mmHg st: NotStopd t0: [02:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [02:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [02:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [03:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 138 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [03:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [03:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [03:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 07/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 10 vu: ml t0: [03:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 5.95 vu: ml
t0: [02:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 07/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 07/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 07/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: -1 v1: Very Agitated st: NotStopd t0: [04:00:00 07/01/2010] id: Diet Type el: 0 cu: CCU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 07/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 07/01/2010] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 07/01/2010] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [04:00:00 07/01/2010] id: GCS Total el: 0 cu: CCU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 07/01/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 07/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: -1 v1: Feeding st: NotStopd t0: [04:00:00 07/01/2010] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [04:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 07/01/2010] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 07/01/2010] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [04:00:00 07/01/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 07/01/2010] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [04:00:00 07/01/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Exp Wheeze st: NotStopd t0: [04:00:00 07/01/2010] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 07/01/2010] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 07/01/2010] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 07/01/2010] id: Orientation el: 0 cu: CCU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 07/01/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 07/01/2010] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 07/01/2010] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [04:00:00 07/01/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 07/01/2010] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [04:00:00 07/01/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Exp Wheeze st: NotStopd t0: [04:00:00 07/01/2010] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [04:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [04:00:00 07/01/2010] id: Speech el: 0 cu: CCU cg: -1 v1: Normal st: NotStopd t0: [04:00:00 07/01/2010] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [04:00:00 07/01/2010] id: Urine Source el: 0 cu: CCU cg: -1 v1: Voids st: NotStopd t0: [04:00:00 07/01/2010] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 07/01/2010] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd
t0: [05:00:00 07/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 117 vo: 20 vu: ml t0: [05:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 11.9 vu: ml
t0: [04:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 07/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 07/01/2010] id: IV #1 D/C Date el: 0 cu: CCU cg: -1 v1: 11 v2: 14 st: NotStopd t0: [00:00:00 07/01/2010] id: IV #2 D/C Date el: 0 cu: CCU cg: -1 v1: 11 v2: 14 st: NotStopd t0: [02:00:00 07/01/2010] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 07/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 07/01/2010] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 07/01/2010] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 07/01/2010] id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: -1 v1: Soap & H20 st: NotStopd t0: [04:00:00 07/01/2010] id: Imp Skin Cleanse #3 el: 0 cu: CCU cg: -1 v1: Soap & H20 st: NotStopd t0: [04:00:00 07/01/2010] id: ImpSkin Character #2 el: 0 cu: CCU cg: -1 v1: Abrasion st: NotStopd t0: [04:00:00 07/01/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: -1 v1: Abrasion st: NotStopd t0: [04:00:00 07/01/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 07/01/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 07/01/2010] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 07/01/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 07/01/2010] id: Impaired Skin Site#2 el: 0 cu: CCU cg: -1 v1: Arm, Left Lower st: NotStopd t0: [04:00:00 07/01/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: -1 v1: Arm, Right Lower st: NotStopd t0: [04:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 130 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [04:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [04:00:00 07/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [04:00:00 07/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: -1 v1: Face Tent st: NotStopd t0: [04:00:00 07/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [04:00:00 07/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [04:00:00 07/01/2010] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 07/01/2010] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 07/01/2010] id: Support Systems el: 0 cu: CCU cg: -1 v1: Children st: NotStopd t0: [04:00:00 07/01/2010] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 07/01/2010] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.1111 u1: Deg. C st: NotStopd t0: [04:00:00 07/01/2010] id: Temperature F el: 0 cu: CCU cg: -1 v1: 97 u1: Deg. F st: NotStopd t0: [04:00:00 07/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 07/01/2010] id: Turn el: 0 cu: CCU cg: -1 v1: Turns by self st: NotStopd t0: [04:00:00 07/01/2010] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Walks Occasional st: NotStopd t0: [04:00:00 07/01/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 07/01/2010] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [04:00:00 07/01/2010] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Moist st: NotStopd t0: [04:00:00 07/01/2010] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [04:00:00 07/01/2010] id: Braden Score el: 0 cu: CCU cg: -1 v1: 16 u1: number st: NotStopd t0: [04:00:00 07/01/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [05:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [05:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 145 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [05:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 78.3333 u1: mmHg st: NotStopd t0: [05:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [05:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [05:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 07/01/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 07/01/2010] tf: [11:00:00 07/01/2010] dt: 420 id: IV #3 Insert Date el: 0 cu: CCU cg: -1 v1: 11 v2: 14 st: NotStopd t0: [04:00:00 07/01/2010] tf: [11:00:00 07/01/2010] dt: 420 id: IV #3 Site/Size el: 0 cu: CCU cg: -1 v1: LU Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 07/01/2010] tf: [11:00:00 07/01/2010] dt: 420 id: IV Site Appear #3 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd
t0: [04:47:00 07/01/2010] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1 rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 12 rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 39.2 rs: Final st: NotStopd
t0: [09:00:00 07/01/2010] id: Stool Management el: 0 cu: CCU cg: -1 st: D/C'd
t0: [06:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 65 u1: BPM st: NotStopd t0: [06:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [07:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 139 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [07:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [07:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [08:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [08:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [09:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 152 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 82.6667 u1: mmHg st: NotStopd t0: [09:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 07/01/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [09:00:00 07/01/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [09:00:00 07/01/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [09:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 15.3 vu: ml st: Stopped t0: [09:00:00 07/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 40 vu: ml
t0: [09:00:00 07/01/2010] tf: [19:08:00 09/01/2010] dt: 3488 id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [08:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 07/01/2010] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 0 ap: carryForward
t0: [09:00:00 07/01/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [09:00:00 07/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [09:00:00 07/01/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [09:00:00 07/01/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [09:00:00 07/01/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [09:00:00 07/01/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [09:00:00 07/01/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [09:00:00 07/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [09:00:00 07/01/2010] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [09:00:00 07/01/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [09:00:00 07/01/2010] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [09:00:00 07/01/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [09:00:00 07/01/2010] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [09:00:00 07/01/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [09:00:00 07/01/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [09:00:00 07/01/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [09:00:00 07/01/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [09:00:00 07/01/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [09:00:00 07/01/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [09:00:00 07/01/2010] id: Pupil Size R/L el: 0 cu: CCU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [09:00:00 07/01/2010] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [09:00:00 07/01/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [09:00:00 07/01/2010] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [09:00:00 07/01/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [09:00:00 07/01/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [09:00:00 07/01/2010] id: Speech el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [09:00:00 07/01/2010] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Formed st: NotStopd t0: [09:00:00 07/01/2010] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [09:00:00 07/01/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [09:00:00 07/01/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [09:00:00 07/01/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [09:00:00 07/01/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [08:00:00 07/01/2010] id: Chest PT R/L el: 0 cu: CCU cg: RN v1: Done v2: Done st: NotStopd t0: [08:00:00 07/01/2010] id: Cough/Deep Breathe el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/01/2010] id: Incentive Spirometry el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN u1: % st: NotStopd t0: [08:00:00 07/01/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [08:00:00 07/01/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [09:00:00 07/01/2010] id: Chest PT R/L el: 0 cu: CCU cg: RN v1: Done v2: Done st: NotStopd t0: [09:00:00 07/01/2010] id: Cough/Deep Breathe el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [09:00:00 07/01/2010] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 07/01/2010] id: Incentive Spirometry el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [09:00:00 07/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [09:00:00 07/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [09:00:00 07/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [09:00:00 07/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: RN v1: 12 u1: lpm st: NotStopd t0: [09:00:00 07/01/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Expectorated v2: None st: NotStopd
t0: [08:00:00 07/01/2010] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [08:00:00 07/01/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [08:00:00 07/01/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Anxious st: NotStopd t0: [09:00:00 07/01/2010] id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [09:00:00 07/01/2010] id: Imp Skin Cleanse #3 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [09:00:00 07/01/2010] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Abrasion st: NotStopd t0: [09:00:00 07/01/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Abrasion st: NotStopd t0: [09:00:00 07/01/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 07/01/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 07/01/2010] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [09:00:00 07/01/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [09:00:00 07/01/2010] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [09:00:00 07/01/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Arm, Right Lower st: NotStopd t0: [09:00:00 07/01/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 07/01/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [09:00:00 07/01/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [09:00:00 07/01/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Anxious st: NotStopd t0: [09:00:00 07/01/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Chairfast st: NotStopd t0: [09:00:00 07/01/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [09:00:00 07/01/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 07/01/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [09:00:00 07/01/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [09:00:00 07/01/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 15 u1: number st: NotStopd t0: [09:00:00 07/01/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [09:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [09:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd
t0: [09:30:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:30:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:30:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [09:30:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:30:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 138 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:30:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [09:30:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [09:30:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [09:30:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:30:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:47:00 07/01/2010] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 17 rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7 u1: mg/dl rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 27 rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 104 rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 102 rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.7 rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 140 rs: Final st: NotStopd
t0: [04:47:00 07/01/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.1 rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 29.4 u1: % rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 9 u1: gm/dl rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 290 rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.19 u1: /mic l rs: Final st: NotStopd t0: [04:47:00 07/01/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.1 rs: Final st: NotStopd
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Furosemide f1: INJ v1: 40 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq
t0: [11:00:00 07/01/2010] id: IV #3 D/C Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [11:00:00 07/01/2010] id: IV #3 Insert Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [11:00:00 07/01/2010] id: IV #3 Site/Size el: 0 cu: CCU cg: -1 st: D/C'd t0: [11:00:00 07/01/2010] id: IV Site Appear #3 el: 0 cu: CCU cg: -1 st: D/C'd
t0: [09:00:00 07/01/2010] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [10:00:00 07/01/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [10:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 07/01/2010] id: Chest PT R/L el: 0 cu: CCU cg: RN v1: Done v2: Done st: NotStopd t0: [10:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 07/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [10:00:00 07/01/2010] id: Cough/Deep Breathe el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [10:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 07/01/2010] id: Incentive Spirometry el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 131 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [10:00:00 07/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:00:00 07/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd t0: [10:00:00 07/01/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 29 u1: BPM st: NotStopd t0: [10:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 07/01/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Expectorated v2: None st: NotStopd t0: [10:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [10:30:00 07/01/2010] id: Chest PT R/L el: 0 cu: CCU cg: RN v1: Done v2: Done st: NotStopd t0: [10:30:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 07/01/2010] id: Cough/Deep Breathe el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:30:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 07/01/2010] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [10:30:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [10:30:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 07/01/2010] id: Incentive Spirometry el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:30:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 165 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [10:30:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 105.667 u1: mmHg st: NotStopd t0: [10:30:00 07/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:30:00 07/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [10:30:00 07/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd t0: [10:30:00 07/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: RN v1: 12 u1: lpm st: NotStopd t0: [10:30:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:30:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 29 u1: BPM st: NotStopd t0: [10:30:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [10:30:00 07/01/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Expectorated v2: None st: NotStopd t0: [10:30:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 07/01/2010] id: Capillary Refill R/L el: 0 cu: CCU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [11:00:00 07/01/2010] id: Chest PT R/L el: 0 cu: CCU cg: RN v1: Done v2: Done st: NotStopd t0: [11:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 07/01/2010] id: Cough/Deep Breathe el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:00:00 07/01/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [11:00:00 07/01/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [11:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 07/01/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [11:00:00 07/01/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [11:00:00 07/01/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [11:00:00 07/01/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [11:00:00 07/01/2010] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [11:00:00 07/01/2010] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [11:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 07/01/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [11:00:00 07/01/2010] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [11:00:00 07/01/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Arm, Right Lower st: NotStopd t0: [11:00:00 07/01/2010] id: Incentive Spirometry el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:00:00 07/01/2010] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [11:00:00 07/01/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [11:00:00 07/01/2010] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [11:00:00 07/01/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [11:00:00 07/01/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [11:00:00 07/01/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [11:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [11:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [11:00:00 07/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [11:00:00 07/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [11:00:00 07/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [11:00:00 07/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: RN v1: 12 u1: lpm st: NotStopd t0: [11:00:00 07/01/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [11:00:00 07/01/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [11:00:00 07/01/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [11:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 07/01/2010] id: Pupil Size R/L el: 0 cu: CCU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [11:00:00 07/01/2010] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [11:00:00 07/01/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [11:00:00 07/01/2010] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [11:00:00 07/01/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [11:00:00 07/01/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [11:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 36 u1: BPM st: NotStopd t0: [11:00:00 07/01/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 07/01/2010] id: Speech el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [11:00:00 07/01/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Expectorated v2: None st: NotStopd t0: [11:00:00 07/01/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [11:00:00 07/01/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [11:00:00 07/01/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [11:00:00 07/01/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [11:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 07/01/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Anxious st: NotStopd t0: [11:00:00 07/01/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [10:00:00 07/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [10:00:00 07/01/2010] id: Urine Out Incontinent el: 1 cu: CCU cg: RN vo: 0 vu: ml t0: [10:30:00 07/01/2010] id: Urine Out Incontinent el: 1 cu: CCU cg: RN vu: ml es: Large t0: [11:00:00 07/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml
t0: [10:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:30:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 07/01/2010] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 07/01/2010] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [08:00:00 07/01/2010] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: LU Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 07/01/2010] id: Activity el: 0 cu: CCU cg: RN v1: Commode st: NotStopd t0: [08:00:00 07/01/2010] id: IV Site Appear #3 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/01/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [08:00:00 07/01/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/01/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 07/01/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [08:00:00 07/01/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 07/01/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: Airbed/Kinair st: NotStopd t0: [08:00:00 07/01/2010] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd t0: [08:00:00 07/01/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 07/01/2010] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 07/01/2010] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [10:00:00 07/01/2010] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [10:00:00 07/01/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bed as Chair st: NotStopd t0: [10:00:00 07/01/2010] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [10:00:00 07/01/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 07/01/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 07/01/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [10:00:00 07/01/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 07/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: Airbed/Kinair st: NotStopd t0: [10:00:00 07/01/2010] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd t0: [11:00:00 07/01/2010] id: IV #2 D/C Date el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [11:00:00 07/01/2010] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [11:00:00 07/01/2010] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [11:00:00 07/01/2010] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: Infiltrated st: NotStopd
t0: [10:00:00 07/01/2010] tf: [11:00:00 07/01/2010] dt: 60 id: IV #3 D/C Date el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [10:00:00 07/01/2010] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [10:00:00 07/01/2010] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: LU Ant Forearm v2: 20 gauge st: NotStopd t0: [10:00:00 07/01/2010] id: IV Site Appear #3 el: 0 cu: CCU cg: RN v1: Infiltrated st: NotStopd t0: [11:30:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [11:30:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [11:30:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [11:30:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [11:30:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:30:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 34 u1: BPM st: NotStopd t0: [11:30:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [11:30:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:45:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [11:45:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:45:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:45:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:45:00 07/01/2010] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [11:45:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [11:45:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:45:00 07/01/2010] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [11:45:00 07/01/2010] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 22 gauge st: NotStopd t0: [11:45:00 07/01/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [11:45:00 07/01/2010] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [11:45:00 07/01/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [11:45:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [11:45:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 50.3333 u1: mmHg st: NotStopd t0: [11:45:00 07/01/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:45:00 07/01/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [11:45:00 07/01/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [11:45:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:45:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:45:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [11:45:00 07/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: Airbed/Kinair st: NotStopd t0: [11:45:00 07/01/2010] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [11:45:00 07/01/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:45:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:45:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:45:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:45:00 07/01/2010] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [11:45:00 07/01/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Arm, Right Lower st: NotStopd t0: [11:45:00 07/01/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [11:45:00 07/01/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [11:45:00 07/01/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd
t0: [12:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 07/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [12:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [12:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 57.3333 u1: mmHg st: NotStopd t0: [12:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 35 u1: BPM st: NotStopd t0: [12:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 07/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml
t0: [12:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 07/01/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 202 rs: Manual st: NotStopd
t0: [09:30:00 07/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN st: NotStopd t0: [12:30:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [12:30:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:30:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:30:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [12:30:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [12:30:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [12:30:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:30:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [12:30:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [12:30:00 07/01/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:30:00 07/01/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [12:30:00 07/01/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [12:30:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [13:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 154 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 87.3333 u1: mmHg st: NotStopd t0: [13:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [13:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 92 u1: % st: NotStopd t0: [13:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [13:30:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 07/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [13:30:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:30:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:30:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [13:30:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:30:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 144 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [13:30:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 93.3333 u1: mmHg st: NotStopd t0: [13:30:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:30:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:30:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [13:30:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:30:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:30:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [00:00:00 10/01/2010] pt: IV Flush rt: IV fr: QD:PRN
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: ONCE fs: 19 dn: 1 m1: Warfarin f1: TAB v1: 5 u1: mg
t0: [12:00:00 07/01/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [12:00:00 07/01/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [13:00:00 07/01/2010] id: Chest PT R/L el: 0 cu: CCU cg: RN v1: Done v2: Done st: NotStopd t0: [13:00:00 07/01/2010] id: Cough/Deep Breathe el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [13:00:00 07/01/2010] id: Incentive Spirometry el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [14:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 132 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [14:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [14:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 33 u1: BPM st: NotStopd t0: [14:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [15:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [15:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 07/01/2010] id: Chest PT R/L el: 0 cu: CCU cg: RN v1: Done v2: Done st: NotStopd t0: [16:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 07/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 07/01/2010] id: Cough/Deep Breathe el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 07/01/2010] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [16:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 07/01/2010] id: Incentive Spirometry el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [16:00:00 07/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 07/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [16:00:00 07/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [16:00:00 07/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: RN v1: 12 u1: lpm st: NotStopd t0: [16:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 33 u1: BPM st: NotStopd t0: [16:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [16:00:00 07/01/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:00:00 07/01/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [16:00:00 07/01/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [16:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [17:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [17:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 69.3333 u1: mmHg st: NotStopd t0: [17:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 33 u1: BPM st: NotStopd t0: [17:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 07/01/2010] id: Chest PT R/L el: 0 cu: CCU cg: RN v1: Done v2: Done st: NotStopd t0: [18:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 07/01/2010] id: Cough/Deep Breathe el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 07/01/2010] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [18:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 07/01/2010] id: Incentive Spirometry el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 147 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 84.3333 u1: mmHg st: NotStopd t0: [18:00:00 07/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [18:00:00 07/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [18:00:00 07/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [18:00:00 07/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: RN v1: 12 u1: lpm st: NotStopd t0: [18:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 34 u1: BPM st: NotStopd t0: [18:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 07/01/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [18:00:00 07/01/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Nasotracheal Sxn v2: Moderate st: NotStopd t0: [18:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 07/01/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [19:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 07/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [19:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 120 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [19:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [19:00:00 07/01/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [19:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 34 u1: BPM st: NotStopd t0: [19:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 07/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 40 vu: ml t0: [19:00:00 07/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 30 vu: ml
t0: [14:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: HS:PRN m1: Lorazepam f1: TAB v1: 1 u1: mg
t0: [20:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [20:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 136 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [20:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [20:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 07/01/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 07/01/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [20:00:00 07/01/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [20:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 07/01/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 07/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [20:00:00 07/01/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd
t0: [20:00:00 07/01/2010] id: Chest PT R/L el: 0 cu: CCU cg: RN v1: Done v2: Done st: NotStopd t0: [20:00:00 07/01/2010] id: Cough/Deep Breathe el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 07/01/2010] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 07/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 07/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [20:00:00 07/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd t0: [20:00:00 07/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: RN v1: 12 u1: lpm st: NotStopd
t0: [20:00:00 07/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml
t0: [23:00:00 07/01/2010] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 07/01/2010] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 1270 ap: carryForward t0: [23:00:00 07/01/2010] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 1270 ap: carryForward
t0: [13:00:00 07/01/2010] tf: [22:00:00 07/01/2010] dt: 540 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 3.5 vu: ml t0: [14:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 3.5 vu: ml t0: [15:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 3.5 vu: ml t0: [16:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 3.5 vu: ml t0: [17:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 3.5 vu: ml t0: [18:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 3.5 vu: ml t0: [19:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 3.5 vu: ml t0: [20:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 3.5 vu: ml
t0: [20:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.205882 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 07/01/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 07/01/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 07/01/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 07/01/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 07/01/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 07/01/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 07/01/2010] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 07/01/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 07/01/2010] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 07/01/2010] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 07/01/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 07/01/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 07/01/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 07/01/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 07/01/2010] id: Pupil Size R/L el: 0 cu: CCU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 07/01/2010] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 07/01/2010] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 07/01/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [20:00:00 07/01/2010] id: Speech el: 0 cu: CCU cg: RN v1: Normal st: NotStopd t0: [20:00:00 07/01/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 07/01/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [20:00:00 07/01/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 07/01/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [20:00:00 07/01/2010] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [20:00:00 07/01/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Arm, Right Lower st: NotStopd t0: [20:00:00 07/01/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 07/01/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [20:00:00 07/01/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Anxious st: NotStopd t0: [20:00:00 07/01/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 07/01/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 07/01/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 07/01/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 07/01/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 07/01/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 15 u1: number st: NotStopd t0: [20:00:00 07/01/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 07/01/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 07/01/2010] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [20:00:00 07/01/2010] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 22 gauge st: NotStopd t0: [20:00:00 07/01/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 07/01/2010] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/01/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 07/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: Airbed/Kinair st: NotStopd t0: [20:00:00 07/01/2010] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd t0: [20:00:00 07/01/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd
t0: [20:00:00 07/01/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 07/01/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 07/01/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 07/01/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd
t0: [23:00:00 07/01/2010] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 580 ap: none
t0: [21:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [21:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 160 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 85.3333 u1: mmHg st: NotStopd t0: [21:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 40 u1: BPM st: NotStopd t0: [21:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 84 u1: % st: NotStopd t0: [21:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:55:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 44 u1: BPM st: NotStopd t0: [20:55:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 51 u1: % st: NotStopd
t0: [21:00:00 07/01/2010] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 1 u1: torr st: NotStopd t0: [21:00:00 07/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [21:00:00 07/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Non-Rebreather st: NotStopd t0: [21:00:00 07/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd t0: [21:00:00 07/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [21:00:00 07/01/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Other/Remarks v2: Thick st: NotStopd t0: [21:00:00 07/01/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Nasotracheal Sxn v2: Moderate st: NotStopd
t0: [21:00:00 07/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [21:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 3.5 vu: ml
t0: [21:38:00 07/01/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [21:38:00 07/01/2010] id: CaO2 el: 0 cu: CCU cg: 140 v1: 12.1446 u1: ml/dl st: NotStopd t0: [21:38:00 07/01/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 12 rs: Final st: NotStopd t0: [21:38:00 07/01/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 42 rs: Final st: NotStopd t0: [21:38:00 07/01/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 68 u1: mmHg rs: Final st: NotStopd t0: [21:38:00 07/01/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 144 u1: mmHg rs: Final st: NotStopd t0: [21:38:00 07/01/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [21:38:00 07/01/2010] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [21:15:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 86 u1: % st: NotStopd t0: [21:30:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 33 u1: BPM st: NotStopd t0: [21:30:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 88 u1: % st: NotStopd t0: [21:45:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 31 u1: BPM st: NotStopd t0: [21:45:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 92 u1: % st: NotStopd
tf: [00:00:00 10/01/2010] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: traZODONE HCl f1: TAB v1: 50 u1: mg
t0: [22:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 07/01/2010] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 1 u1: torr st: NotStopd t0: [22:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [22:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 07/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Non-Rebreather st: NotStopd t0: [22:00:00 07/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [22:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [22:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 91 u1: % st: NotStopd t0: [22:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 07/01/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 07/01/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 07/01/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 07/01/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 07/01/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd
t0: [22:00:00 07/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [22:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 0 vu: ml
t0: [21:30:00 07/01/2010] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [22:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 154 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [22:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd
t0: [23:00:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [23:00:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 145 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [23:00:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [23:00:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [23:00:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 80 u1: % st: NotStopd t0: [23:00:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 07/01/2010] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 1 u1: torr st: NotStopd t0: [23:00:00 07/01/2010] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [23:00:00 07/01/2010] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Non-Rebreather st: NotStopd t0: [23:00:00 07/01/2010] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd t0: [23:00:00 07/01/2010] id: O2 Flow (lpm) #2 el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [23:00:00 07/01/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 207 rs: Manual st: NotStopd
t0: [23:00:00 07/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [23:00:00 07/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 0 vu: ml
t0: [23:00:00 07/01/2010] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 10 cv: 322.5 ap: none
t0: [23:02:00 07/01/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.3 rs: Final st: NotStopd t0: [23:02:00 07/01/2010] id: CaO2 el: 0 cu: CCU cg: 140 v1: 10.1772 u1: ml/dl st: NotStopd t0: [23:02:00 07/01/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 12 rs: Final st: NotStopd t0: [23:02:00 07/01/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 44 rs: Final st: NotStopd t0: [23:02:00 07/01/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [23:02:00 07/01/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [23:02:00 07/01/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.3 rs: Final st: NotStopd t0: [23:02:00 07/01/2010] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 83 u1: % rs: Final st: NotStopd
t0: [23:08:00 07/01/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.28 rs: Final st: NotStopd t0: [23:08:00 07/01/2010] id: CaO2 el: 0 cu: CCU cg: 140 v1: 9.8061 u1: ml/dl st: NotStopd t0: [23:08:00 07/01/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 12 rs: Final st: NotStopd t0: [23:08:00 07/01/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 46 rs: Final st: NotStopd t0: [23:08:00 07/01/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 93 u1: mmHg rs: Final st: NotStopd t0: [23:08:00 07/01/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [23:08:00 07/01/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.28 rs: Final st: NotStopd t0: [23:08:00 07/01/2010] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 80 u1: % rs: Final st: NotStopd
t0: [23:15:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [23:15:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:15:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:15:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:15:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [23:15:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:15:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:15:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:15:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:15:00 07/01/2010] id: Significant Events el: 0 cu: CCU cg: RN v1: Intubated st: NotStopd t0: [23:15:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:15:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:15:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:30:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [23:30:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:30:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:30:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [23:30:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:30:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:30:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [23:30:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:30:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [23:30:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [23:30:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:30:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:45:00 07/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [23:45:00 07/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:45:00 07/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:45:00 07/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:45:00 07/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [23:45:00 07/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:45:00 07/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 159 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [23:45:00 07/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 97.6667 u1: mmHg st: NotStopd t0: [23:45:00 07/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:45:00 07/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [23:45:00 07/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:45:00 07/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:45:00 07/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
id: Midazolam el: 100 cu: CCU cg: RN io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions am: 50 du: mghr rt: IV Drip
t0: [23:55:00 07/01/2010] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 13.3333 u1: ml/cmH st: NotStopd t0: [23:55:00 07/01/2010] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [23:55:00 07/01/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 1 u1: torr st: NotStopd t0: [23:55:00 07/01/2010] tf: [19:08:00 09/01/2010] dt: 2593 id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [23:55:00 07/01/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [23:55:00 07/01/2010] tf: [19:08:00 09/01/2010] dt: 2593 id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3 st: NotStopd t0: [23:55:00 07/01/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [23:55:00 07/01/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [23:55:00 07/01/2010] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [23:55:00 07/01/2010] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 14 st: NotStopd t0: [23:55:00 07/01/2010] tf: [19:08:00 09/01/2010] dt: 2593 id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [23:55:00 07/01/2010] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [23:55:00 07/01/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 15.8 u1: cmH2O st: NotStopd t0: [23:55:00 07/01/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 6.3 u1: L/min st: NotStopd t0: [23:55:00 07/01/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [23:55:00 07/01/2010] tf: [19:08:00 09/01/2010] dt: 2593 id: Peak Flow el: 0 cu: CCU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [23:55:00 07/01/2010] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [23:55:00 07/01/2010] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 38 u1: cmH2O st: NotStopd t0: [23:55:00 07/01/2010] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [23:55:00 07/01/2010] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [23:55:00 07/01/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [23:55:00 07/01/2010] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [23:55:00 07/01/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [23:55:00 07/01/2010] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [23:55:00 07/01/2010] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [23:55:00 07/01/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [23:55:00 07/01/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [23:55:00 07/01/2010] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ra: 2 ru: ml/hr
id: .9% Normal Saline el: 1 cu: CCU cg: RN io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [23:55:00 07/01/2010] id: SpO2 el: 0 cu: CCU cg: RN u1: % st: NotStopd t0: [00:00:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 08/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 08/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [00:00:00 08/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 08/01/2010] id: NBP el: 0 cu: CCU cg: RN v1: 143 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [00:00:00 08/01/2010] id: NBP Mean el: 0 cu: CCU cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [00:00:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 08/01/2010] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN cv: 0 ap: none
t0: [00:00:00 08/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [00:00:00 08/01/2010] tf: [10:16:00 08/01/2010] dt: 616 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 31.875 vu: ml
t0: [00:39:00 08/01/2010] id: BSA el: 1033 cu: CCU cg: -1 t0: [00:39:00 08/01/2010] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 68 u1: kg t0: [00:39:00 08/01/2010] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [00:39:00 08/01/2010] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: LUNG MASS LEFT/SDA t0: [00:39:00 08/01/2010] id: Service el: 1026 cu: CCU cg: -1 v1: TSU t0: [00:39:00 08/01/2010] id: Admit Ht el: 1034 cu: CCU cg: -1 t0: [00:39:00 08/01/2010] id: Readmission el: 1014 cu: CCU cg: -1 t0: [00:39:00 08/01/2010] id: Marital Status el: 1006 cu: CCU cg: -1 v1: W t0: [00:39:00 08/01/2010] id: Religion el: 1000 cu: CCU cg: -1 v1: JEW t0: [00:39:00 08/01/2010] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [00:39:00 08/01/2010] id: Ext el: 1010 cu: CCU cg: -1 t0: [00:39:00 08/01/2010] id: PIN el: 1012 cu: CCU cg: -1 t0: [00:39:00 08/01/2010] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [00:30:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [00:30:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 08/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:30:00 08/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:30:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [00:30:00 08/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:30:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 156 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:30:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [00:30:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:30:00 08/01/2010] id: Procedures el: 0 cu: CCU cg: RN v1: EKG st: NotStopd t0: [00:30:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:30:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2588 id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:30:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:30:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 08/01/2010] id: Procedures el: 0 cu: CCU cg: RN v1: Bronchoscopy st: NotStopd
t0: [00:00:00 08/01/2010] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 10.1695 u1: ml/cmH st: NotStopd t0: [00:00:00 08/01/2010] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 08/01/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 1 u1: torr st: NotStopd t0: [00:00:00 08/01/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 08/01/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 08/01/2010] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:2.7 st: NotStopd t0: [00:00:00 08/01/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 08/01/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 08/01/2010] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 08/01/2010] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 14 st: NotStopd t0: [00:00:00 08/01/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 08/01/2010] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 08/01/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 15.2 u1: cmH2O st: NotStopd t0: [00:00:00 08/01/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [00:00:00 08/01/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:00:00 08/01/2010] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [00:00:00 08/01/2010] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 37 u1: cmH2O st: NotStopd t0: [00:00:00 08/01/2010] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [00:00:00 08/01/2010] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 08/01/2010] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 08/01/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:00:00 08/01/2010] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:00:00 08/01/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 08/01/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Bloody v2: Thin st: NotStopd t0: [00:00:00 08/01/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Other/Remarks v2: Small st: NotStopd t0: [00:00:00 08/01/2010] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [00:00:00 08/01/2010] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [00:00:00 08/01/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 08/01/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 08/01/2010] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
id: Fentanyl el: 100 cu: CCU cg: RN io: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions am: 5000 du: mcghr rt: IV Drip id: KCL el: 100 cu: CCU cg: RN io: D5/.45NS 10000.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
io: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ra: 40 ru: ml/hr
id: D5/.45NS el: 1 cu: CCU cg: RN io: D5/.45NS 10000.0ml IV Infusions vo: 10000 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: CCU cg: RN io: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [01:00:00 08/01/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.28 rs: Final st: NotStopd t0: [01:00:00 08/01/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 9 rs: Final st: NotStopd t0: [01:00:00 08/01/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 42 rs: Final st: NotStopd t0: [01:00:00 08/01/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 85 u1: mmHg rs: Final st: NotStopd t0: [01:00:00 08/01/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 52 u1: mmHg rs: Final st: NotStopd t0: [01:00:00 08/01/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.28 rs: Final st: NotStopd
t0: [23:00:00 07/01/2010] dt: 24 id: 24h Total In el: 1 cu: CCU cg: 140 pv: 10 cv: 2662.5 ap: none t0: [23:00:00 07/01/2010] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: 140 cv: 1760 ap: none
t0: [01:00:00 08/01/2010] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1 rs: Final st: NotStopd t0: [01:00:00 08/01/2010] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 83 u1: % rs: Final st: NotStopd
t0: [01:00:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 08/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 08/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 66 u1: BPM st: NotStopd t0: [01:00:00 08/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 150 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [01:00:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 08/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 78 u1: % st: NotStopd t0: [01:00:00 08/01/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [01:00:00 08/01/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [01:00:00 08/01/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [01:00:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 08/01/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [00:00:00 08/01/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [00:00:00 08/01/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd
t0: [01:00:00 08/01/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [01:00:00 08/01/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [01:00:00 08/01/2010] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 113 vu: ml nb: 1 t0: [01:00:00 08/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [01:00:00 08/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 42.5 vu: ml t0: [01:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2528 id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 431 vo: 2 vu: ml
t0: [21:00:00 07/01/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [00:00:00 08/01/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [00:00:00 08/01/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 08/01/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 08/01/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 08/01/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 08/01/2010] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 08/01/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 08/01/2010] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 08/01/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/01/2010] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 08/01/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/01/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 08/01/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 08/01/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 08/01/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 08/01/2010] id: Pupil Size R/L el: 0 cu: CCU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 08/01/2010] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 08/01/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/01/2010] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 08/01/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/01/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 08/01/2010] id: Speech el: 0 cu: CCU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 08/01/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [00:00:00 08/01/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 08/01/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 08/01/2010] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [00:00:00 08/01/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Arm, Right Lower st: NotStopd t0: [00:00:00 08/01/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 08/01/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [00:00:00 08/01/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 08/01/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 08/01/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 08/01/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 08/01/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 08/01/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 08/01/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 08/01/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd
t0: [00:00:00 08/01/2010] id: HOB el: 0 cu: CCU cg: RN v1: Flat in Bed st: NotStopd t0: [00:00:00 08/01/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 08/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: Airbed/Kinair st: NotStopd t0: [00:00:00 08/01/2010] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd
t0: [22:00:00 07/01/2010] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [22:00:00 07/01/2010] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 22 gauge st: NotStopd t0: [22:00:00 07/01/2010] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [22:00:00 07/01/2010] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [22:00:00 07/01/2010] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [22:00:00 07/01/2010] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [23:00:00 07/01/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [23:00:00 07/01/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 07/01/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [23:00:00 07/01/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [23:00:00 07/01/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [23:00:00 07/01/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [23:00:00 07/01/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [23:00:00 07/01/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 08/01/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [00:00:00 08/01/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [00:00:00 08/01/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/01/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [00:00:00 08/01/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [00:00:00 08/01/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/01/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 08/01/2010] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [00:00:00 08/01/2010] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 22 gauge st: NotStopd t0: [00:00:00 08/01/2010] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [00:00:00 08/01/2010] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [00:00:00 08/01/2010] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/01/2010] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd
t0: [01:30:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [01:30:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 08/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:30:00 08/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:30:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [01:30:00 08/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:30:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 131 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [01:30:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [01:30:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:30:00 08/01/2010] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [01:30:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [01:30:00 08/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 70 u1: % st: NotStopd t0: [01:30:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:30:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:30:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:55:00 08/01/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 5 rs: Final st: NotStopd t0: [00:55:00 08/01/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 24.6 u1: % rs: Final st: NotStopd t0: [00:55:00 08/01/2010] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 7.7 u1: gm/dl rs: Final st: NotStopd t0: [00:55:00 08/01/2010] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 317 rs: Final st: NotStopd t0: [00:55:00 08/01/2010] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 2.68 u1: /mic l rs: Final st: NotStopd t0: [00:55:00 08/01/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 5 rs: Final st: NotStopd t0: [01:00:00 08/01/2010] id: CaO2 el: 0 cu: CCU cg: 140 v1: 8.72514 u1: ml/dl st: NotStopd
id: D5W el: 1 cu: CCU cg: RN io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [02:00:00 08/01/2010] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 10.3448 u1: ml/cmH st: NotStopd t0: [02:00:00 08/01/2010] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [02:00:00 08/01/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 1 u1: torr st: NotStopd t0: [02:00:00 08/01/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [02:00:00 08/01/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [02:00:00 08/01/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [02:00:00 08/01/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [02:00:00 08/01/2010] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [02:00:00 08/01/2010] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 14 st: NotStopd t0: [02:00:00 08/01/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 6 st: NotStopd t0: [02:00:00 08/01/2010] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [02:00:00 08/01/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 10 v2: Combivent st: NotStopd t0: [02:00:00 08/01/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [02:00:00 08/01/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 8.6 u1: L/min st: NotStopd t0: [02:00:00 08/01/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [02:00:00 08/01/2010] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [02:00:00 08/01/2010] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 39 u1: cmH2O st: NotStopd t0: [02:00:00 08/01/2010] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [02:00:00 08/01/2010] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [02:00:00 08/01/2010] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [02:00:00 08/01/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [02:00:00 08/01/2010] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [02:00:00 08/01/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [02:00:00 08/01/2010] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 320 u1: ml/B st: NotStopd t0: [02:00:00 08/01/2010] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [02:00:00 08/01/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [02:00:00 08/01/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [02:00:00 08/01/2010] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [01:30:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2498 id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 08/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 08/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [02:00:00 08/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 149 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [02:00:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [02:00:00 08/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 77 u1: % st: NotStopd t0: [02:00:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2468 id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 113 vo: 40 vu: ml t0: [02:00:00 08/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [02:00:00 08/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 59.5 vu: ml t0: [02:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2468 id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 416 vo: 0.5 vu: ml t0: [02:00:00 08/01/2010] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 431 vo: 4 vu: ml
t0: [02:00:00 08/01/2010] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2468 id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml
t0: [00:55:00 08/01/2010] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [00:55:00 08/01/2010] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 12.8 rs: Final st: NotStopd
t0: [00:55:00 08/01/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 59.8 rs: Final st: NotStopd
t0: [02:15:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [02:15:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd
t0: [02:15:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:55:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2533 id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 24 rs: Final st: NotStopd t0: [00:55:00 08/01/2010] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 127 rs: Final st: NotStopd t0: [00:55:00 08/01/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 6.6 u1: mg/dl rs: Final st: NotStopd t0: [00:55:00 08/01/2010] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [00:55:00 08/01/2010] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 93 rs: Final st: NotStopd t0: [00:55:00 08/01/2010] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 187 rs: Final st: NotStopd t0: [00:55:00 08/01/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.8 rs: Final st: NotStopd t0: [00:55:00 08/01/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [00:55:00 08/01/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [00:55:00 08/01/2010] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 135 rs: Final st: NotStopd
t0: [02:46:00 08/01/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.32 rs: Final st: NotStopd t0: [02:46:00 08/01/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 7 rs: Final st: NotStopd t0: [02:46:00 08/01/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 39 rs: Final st: NotStopd t0: [02:46:00 08/01/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 72 u1: mmHg rs: Final st: NotStopd t0: [02:46:00 08/01/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [02:46:00 08/01/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.32 rs: Final st: NotStopd
t0: [02:46:00 08/01/2010] id: CaO2 el: 0 cu: CCU cg: 140 v1: 8.9284 u1: ml/dl st: NotStopd t0: [02:46:00 08/01/2010] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 85 u1: % rs: Final st: NotStopd
t0: [03:00:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 08/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 08/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [03:00:00 08/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [03:00:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [03:00:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [03:00:00 08/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 87 u1: % st: NotStopd t0: [03:00:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 08/01/2010] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 6.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 07/01/2010] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 10 cv: 10 ap: none t0: [23:00:00 07/01/2010] dt: 24 id: Gastric Out Total el: 1 cu: CCU cg: RN cv: 0 ap: carryForward t0: [23:00:00 07/01/2010] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 10 cv: 1392.5 ap: carryForward t0: [23:00:00 07/01/2010] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 10 cv: 3793.4 ap: carryForward
t0: [03:00:00 08/01/2010] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 113 vo: 40 vu: ml t0: [03:00:00 08/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [03:00:00 08/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 97.75 vu: ml t0: [03:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2408 id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 235 vu: ml t0: [03:00:00 08/01/2010] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 416 vo: 1 vu: ml t0: [03:00:00 08/01/2010] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 431 vo: 4 vu: ml
t0: [02:10:00 08/01/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 22.9 u1: % rs: Final st: NotStopd
t0: [05:00:00 08/01/2010] id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [06:00:00 08/01/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [06:00:00 08/01/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 3 rs: Final st: NotStopd t0: [06:00:00 08/01/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 31 rs: Final st: NotStopd t0: [06:00:00 08/01/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [06:00:00 08/01/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [06:00:00 08/01/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd
t0: [06:00:00 08/01/2010] id: CaO2 el: 0 cu: CCU cg: 140 v1: 8.9098 u1: ml/dl st: NotStopd t0: [06:00:00 08/01/2010] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 0.82 rs: Final st: NotStopd t0: [06:00:00 08/01/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 8.3 rs: Final st: NotStopd t0: [06:00:00 08/01/2010] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 85 u1: % rs: Final st: NotStopd
t0: [04:50:00 08/01/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.23 rs: Final st: NotStopd t0: [04:50:00 08/01/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -2 rs: Final st: NotStopd t0: [04:50:00 08/01/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [04:50:00 08/01/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 64 u1: mmHg rs: Final st: NotStopd t0: [04:50:00 08/01/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [04:50:00 08/01/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.23 rs: Final st: NotStopd
t0: [04:50:00 08/01/2010] id: CaO2 el: 0 cu: CCU cg: 140 v1: 8.61266 u1: ml/dl st: NotStopd t0: [04:50:00 08/01/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 6.9 rs: Final st: NotStopd t0: [04:50:00 08/01/2010] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 82 u1: % rs: Final st: NotStopd
t0: [07:15:00 08/01/2010] id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [06:50:00 08/01/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd t0: [06:50:00 08/01/2010] id: CaO2 el: 0 cu: CCU cg: 140 v1: 9.33492 u1: ml/dl st: NotStopd t0: [06:50:00 08/01/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [06:50:00 08/01/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 27 rs: Final st: NotStopd t0: [06:50:00 08/01/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [06:50:00 08/01/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [06:50:00 08/01/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd t0: [06:50:00 08/01/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 28 u1: % rs: Final st: NotStopd t0: [06:50:00 08/01/2010] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 0.88 rs: Final st: NotStopd t0: [06:50:00 08/01/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 7.5 rs: Final st: NotStopd t0: [06:50:00 08/01/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3 rs: Final st: NotStopd t0: [06:50:00 08/01/2010] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 89 u1: % rs: Final st: NotStopd
id: Doxacurium el: 100 cu: CCU cg: RN io: .9% Normal Saline 250.0ml + 20mgkghr Doxacurium IV Drips am: 20 du: mgkghr rt: IV Drip id: Levophed-k el: 100 cu: CCU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: CCU cg: RN io: .9% Normal Saline 250.0ml + 20mgkghr Doxacurium IV Drips vo: 250 du: ml rt: Intravenous Push
t0: [08:00:00 08/01/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 08/01/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 95 u1: Deg. F st: NotStopd
t0: [04:00:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 08/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 08/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [04:00:00 08/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [04:00:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [04:00:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 08/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 89 u1: % st: NotStopd t0: [04:00:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 08/01/2010] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 113 vo: 40 vu: ml t0: [04:00:00 08/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [04:00:00 08/01/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 210 vo: 0 vu: ml nb: 1 t0: [04:00:00 08/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 110.5 vu: ml t0: [04:00:00 08/01/2010] id: .9% Normal Saline 250.0ml + 20mgkghr Doxacurium IV Drips el: 1 cu: CCU cg: RN ai: 499 vo: 0 vu: ml nb: 1 t0: [04:00:00 08/01/2010] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 23 vu: ml t0: [04:00:00 08/01/2010] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 416 vo: 1 vu: ml t0: [04:00:00 08/01/2010] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 431 vo: 3 vu: ml
t0: [04:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2348 id: Doxacurium el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.005 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 08/01/2010] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2348 id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [08:00:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [08:00:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 08/01/2010] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:55:00 08/01/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.6 rs: Final st: NotStopd
t0: [08:26:00 08/01/2010] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 0.97 rs: Final st: NotStopd t0: [08:26:00 08/01/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 8.6 rs: Final st: NotStopd
tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate f1: INJ v1: 2500 u1: mcg m2: Soln. f2: INJ v2: 50 u2: ml tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Norepinephrine f1: INJ v1: 4 u1: mg m2: D5W f2: INJ v2: 250 u2: ml tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Midazolam HCl f1: INJ v1: 50 u1: mg m2: D5W f2: INJ v2: 50 u2: ml tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV fr: TITRATE TO m1: Doxacurium Chloride f1: VIAL v1: 20 u1: mg m2: D5W f2: INJ v2: 250 u2: ml tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: ONCE fs: 9 dn: 1 m1: Furosemide f1: INJ v1: 40 u1: mg tf: [00:00:00 10/01/2010] pt: Unit Dose rt: IV fr: Q6H fs: 9, 15, 21, 3 dn: 4 m1: Hydrocortisone Na Succ. f1: INJ v1: 50 u1: mg
t0: [05:00:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [05:00:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 86 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [05:00:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 45 u1: mmHg st: NotStopd t0: [05:00:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 08/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 86 u1: % st: NotStopd t0: [05:00:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 66 u1: BPM st: NotStopd t0: [06:00:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [06:00:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [06:00:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 08/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 88 u1: % st: NotStopd t0: [06:00:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [07:00:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [07:00:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [07:00:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 08/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 08/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 08/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 08/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [09:00:00 08/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:00:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [09:00:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 08/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 79 u1: % st: NotStopd t0: [09:00:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 08/01/2010] id: Doxacurium el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.025 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 08/01/2010] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 08/01/2010] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 08/01/2010] id: Doxacurium el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.025 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 08/01/2010] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 08/01/2010] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 08/01/2010] id: Doxacurium el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.025 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 08/01/2010] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [07:00:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 08/01/2010] id: Doxacurium el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.025 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 08/01/2010] id: Doxacurium el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.025 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 08/01/2010] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 08/01/2010] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 113 vo: 40 vu: ml t0: [05:00:00 08/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [05:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2288 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 210 vo: 10.2 vu: ml t0: [05:00:00 08/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 170 vu: ml t0: [05:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2288 id: .9% Normal Saline 250.0ml + 20mgkghr Doxacurium IV Drips el: 1 cu: CCU cg: RN ai: 499 vo: 4.25 vu: ml t0: [05:00:00 08/01/2010] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 15 vu: ml t0: [05:00:00 08/01/2010] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 416 vo: 1 vu: ml t0: [05:00:00 08/01/2010] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 431 vo: 3 vu: ml t0: [06:00:00 08/01/2010] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 113 vo: 40 vu: ml t0: [06:00:00 08/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [06:00:00 08/01/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 210 vo: 10.2 vu: ml t0: [06:00:00 08/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 170 vu: ml t0: [06:00:00 08/01/2010] id: .9% Normal Saline 250.0ml + 20mgkghr Doxacurium IV Drips el: 1 cu: CCU cg: RN ai: 499 vo: 21.25 vu: ml t0: [06:00:00 08/01/2010] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 416 vo: 1 vu: ml t0: [06:00:00 08/01/2010] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 431 vo: 3 vu: ml
t0: [09:30:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [09:30:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 176 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:30:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd
t0: [09:30:00 08/01/2010] id: Doxacurium el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.025 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [09:30:00 08/01/2010] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
id: Dopamine el: 100 cu: CCU cg: RRT io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip
id: D5W el: 1 cu: CCU cg: RRT io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [10:00:00 08/01/2010] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 13.8889 u1: ml/cmH st: NotStopd t0: [10:00:00 08/01/2010] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [10:00:00 08/01/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 1 u1: torr st: NotStopd t0: [10:00:00 08/01/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 65 u1: cmH2O st: NotStopd t0: [10:00:00 08/01/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [10:00:00 08/01/2010] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 2.3 st: NotStopd t0: [10:00:00 08/01/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [10:00:00 08/01/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [10:00:00 08/01/2010] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [10:00:00 08/01/2010] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 14 st: NotStopd t0: [10:00:00 08/01/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 8 st: NotStopd t0: [10:00:00 08/01/2010] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [10:00:00 08/01/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [10:00:00 08/01/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 11.7 u1: L/min st: NotStopd t0: [10:00:00 08/01/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [10:00:00 08/01/2010] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [10:00:00 08/01/2010] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 56 u1: cmH2O st: NotStopd t0: [10:00:00 08/01/2010] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [10:00:00 08/01/2010] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [10:00:00 08/01/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [10:00:00 08/01/2010] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [10:00:00 08/01/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [10:00:00 08/01/2010] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [10:00:00 08/01/2010] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [10:00:00 08/01/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [10:00:00 08/01/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [10:00:00 08/01/2010] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [10:16:00 08/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: -1 ai: 199 vo: 0 st: D/C'd
t0: [09:45:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [09:45:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:45:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [09:45:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:45:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [09:45:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:45:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:45:00 08/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 88 u1: % st: NotStopd t0: [09:45:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [10:00:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [10:00:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [10:00:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:15:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [10:15:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:15:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [10:15:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:15:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [10:15:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:15:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:15:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 08/01/2010] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 08/01/2010] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 08/01/2010] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:30:00 08/01/2010] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:30:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:45:00 08/01/2010] id: Doxacurium el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.025 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [09:45:00 08/01/2010] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:45:00 08/01/2010] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:45:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 08/01/2010] id: Doxacurium el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.025 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 08/01/2010] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 08/01/2010] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:15:00 08/01/2010] id: Doxacurium el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.025 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [10:15:00 08/01/2010] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:15:00 08/01/2010] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:15:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:15:00 08/01/2010] id: Neosynephrine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:15:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:15:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 1973 id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 08/01/2010] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 113 vo: 80 vu: ml t0: [08:00:00 08/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 20 vu: ml t0: [08:00:00 08/01/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 210 vo: 61.2 vu: ml t0: [08:00:00 08/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 340 vu: ml t0: [08:00:00 08/01/2010] id: .9% Normal Saline 250.0ml + 20mgkghr Doxacurium IV Drips el: 1 cu: CCU cg: RN ai: 499 vo: 42.5 vu: ml t0: [08:00:00 08/01/2010] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 416 vo: 2 vu: ml t0: [08:00:00 08/01/2010] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 431 vo: 12 vu: ml t0: [09:00:00 08/01/2010] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 113 vo: 40 vu: ml t0: [09:00:00 08/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 10 vu: ml t0: [09:00:00 08/01/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 210 vo: 51 vu: ml t0: [09:00:00 08/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 136 vu: ml t0: [09:00:00 08/01/2010] id: .9% Normal Saline 250.0ml + 20mgkghr Doxacurium IV Drips el: 1 cu: CCU cg: RN ai: 499 vo: 21.25 vu: ml t0: [09:00:00 08/01/2010] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 416 vo: 1 vu: ml t0: [09:00:00 08/01/2010] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 431 vo: 6 vu: ml
t0: [23:00:00 08/01/2010] dt: 24 id: Blood Products Total el: 1 cu: CCU cg: RN cv: 750 ap: none
t0: [10:00:00 08/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 08/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 08/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd
t0: [10:00:00 08/01/2010] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 113 vo: 40 vu: ml t0: [10:00:00 08/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [10:00:00 08/01/2010] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 115 vo: 0 vu: ml nb: 1 t0: [10:00:00 08/01/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 210 vo: 102 vu: ml t0: [10:00:00 08/01/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CCU cg: RN ai: 199 vo: 51 vu: ml t0: [10:00:00 08/01/2010] id: .9% Normal Saline 250.0ml + 20mgkghr Doxacurium IV Drips el: 1 cu: CCU cg: RN ai: 499 vo: 21.25 vu: ml t0: [10:00:00 08/01/2010] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 416 vo: 1 vu: ml t0: [10:00:00 08/01/2010] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 431 vo: 4.5 vu: ml
t0: [09:00:00 08/01/2010] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 17 vu: ml t0: [10:00:00 08/01/2010] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 16 vu: ml
t0: [10:30:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [10:30:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 08/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [10:30:00 08/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [10:30:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 103 u1: BPM st: NotStopd t0: [10:30:00 08/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:30:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [10:30:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [10:30:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:30:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:30:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:30:00 08/01/2010] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml t0: [10:30:00 08/01/2010] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml
t0: [10:30:00 08/01/2010] id: Doxacurium el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.025 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [10:30:00 08/01/2010] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:30:00 08/01/2010] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:30:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:30:00 08/01/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:30:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 1958 id: Temperature C el: 0 cu: CCU cg: -1 v1: 36.3 u1: Deg. C st: NotStopd t0: [10:30:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 1958 id: Temperature F (calc) el: 0 cu: CCU cg: -1 v1: 97.34 u1: Deg. F st: NotStopd
t0: [09:41:00 08/01/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.34 rs: Final st: NotStopd t0: [09:41:00 08/01/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [09:41:00 08/01/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 26 rs: Final st: NotStopd t0: [09:41:00 08/01/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [09:41:00 08/01/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [09:41:00 08/01/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.34 rs: Final st: NotStopd
t0: [08:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2108 id: Cardiac Index el: 0 cu: CCU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [06:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2228 id: LCW el: 0 cu: CCU cg: RN v1: 3.59856 u1: kg x m st: NotStopd t0: [06:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2228 id: LVSW el: 0 cu: CCU cg: RN v1: 54.3456 u1: g * m st: NotStopd t0: [06:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2228 id: O2AV el: 0 cu: CCU cg: RN v1: 441 u1: ml/min st: NotStopd t0: [06:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2228 id: PAP Mean el: 0 cu: CCU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [06:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2228 id: PAP S/D el: 0 cu: CCU cg: RN v1: 49 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [06:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2228 id: PCWP el: 0 cu: CCU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [06:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2228 id: PVR el: 0 cu: CCU cg: RN v1: 228.571 u1: ... st: NotStopd t0: [06:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2228 id: RCW el: 0 cu: CCU cg: RN v1: 2.39904 u1: kg * m st: NotStopd t0: [06:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2228 id: RVSW el: 0 cu: CCU cg: RN v1: 36.2304 u1: g * m st: NotStopd t0: [06:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2228 id: SVR el: 0 cu: CCU cg: RN v1: 506.122 u1: ... st: NotStopd t0: [06:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2228 id: Stroke Volume el: 0 cu: CCU cg: RN v1: 74.2424 u1: ml st: NotStopd t0: [06:00:00 08/01/2010] tf: [19:08:00 09/01/2010] dt: 2228 id: C.O.(thermodilution) el: 0 cu: CCU cg: RN v1: 4.9 u1: L/min st: NotStopd t0: [06:50:00 08/01/2010] id: O2AV el: 0 cu: CCU cg: RN v1: 441 u1: ml/min st: NotStopd t0: [07:00:00 08/01/2010] id: CVP el: 0 cu: CCU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [07:00:00 08/01/2010] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [07:00:00 08/01/2010] id: PAP S/D el: 0 cu: CCU cg: RN v1: 49 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [07:00:00 08/01/2010] id: PCWP el: 0 cu: CCU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [08:00:00 08/01/2010] id: CVP el: 0 cu: CCU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [08:00:00 08/01/2010] id: Cardiac Index el: 0 cu: CCU cg: RN u1: ... st: NotStopd t0: [08:00:00 08/01/2010] id: LCW el: 0 cu: CCU cg: RN v1: 4.964 u1: kg x m st: NotStopd t0: [08:00:00 08/01/2010] id: LVSW el: 0 cu: CCU cg: RN v1: 59.568 u1: g * m st: NotStopd t0: [08:00:00 08/01/2010] id: PAP Mean el: 0 cu: CCU cg: RN v1: 41 u1: mmHg st: NotStopd t0: [08:00:00 08/01/2010] id: PAP S/D el: 0 cu: CCU cg: RN v1: 47 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [08:00:00 08/01/2010] id: PCWP el: 0 cu: CCU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [08:00:00 08/01/2010] id: PVR el: 0 cu: CCU cg: RN v1: 352 u1: ... st: NotStopd t0: [08:00:00 08/01/2010] id: RCW el: 0 cu: CCU cg: RN v1: 2.788 u1: kg * m st: NotStopd t0: [08:00:00 08/01/2010] id: RVSW el: 0 cu: CCU cg: RN v1: 33.456 u1: g * m st: NotStopd t0: [08:00:00 08/01/2010] id: SVR el: 0 cu: CCU cg: RN v1: 880 u1: ... st: NotStopd t0: [08:00:00 08/01/2010] id: Stroke Volume el: 0 cu: CCU cg: RN v1: 59.5238 u1: ml st: NotStopd t0: [08:00:00 08/01/2010] id: C.O.(thermodilution) el: 0 cu: CCU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [10:00:00 08/01/2010] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:00:00 08/01/2010] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [10:00:00 08/01/2010] id: PAP S/D el: 0 cu: CCU cg: RN v1: 45 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [11:00:00 08/01/2010] id: Service Type el: 0 cu: CCU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 08/01/2010] id: CVP el: 0 cu: CCU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [11:00:00 08/01/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 08/01/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [11:00:00 08/01/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 08/01/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [11:00:00 08/01/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 08/01/2010] id: LCW el: 0 cu: CCU cg: RN v1: 3.76584 u1: kg x m st: NotStopd t0: [11:00:00 08/01/2010] id: LVSW el: 0 cu: CCU cg: RN v1: 40.5552 u1: g * m st: NotStopd t0: [11:00:00 08/01/2010] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [11:00:00 08/01/2010] id: PAP S/D el: 0 cu: CCU cg: RN v1: 47 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [11:00:00 08/01/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 08/01/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [11:00:00 08/01/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 08/01/2010] id: RCW el: 0 cu: CCU cg: RN v1: 1.69728 u1: kg * m st: NotStopd t0: [11:00:00 08/01/2010] id: RVSW el: 0 cu: CCU cg: RN v1: 18.2784 u1: g * m st: NotStopd t0: [11:00:00 08/01/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [11:00:00 08/01/2010] id: SVR el: 0 cu: CCU cg: RN v1: 1169.23 u1: ... st: NotStopd t0: [11:00:00 08/01/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 88 u1: % st: NotStopd t0: [11:00:00 08/01/2010] id: Stroke Volume el: 0 cu: CCU cg: RN v1: 42.3913 u1: ml st: NotStopd t0: [11:00:00 08/01/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 08/01/2010] id: C.O.(thermodilution) el: 0 cu: CCU cg: RN v1: 3.9 u1: L/min st: NotStopd
t0: [11:00:00 08/01/2010] id: Doxacurium el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.025 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 08/01/2010] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 08/01/2010] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 08/01/2010] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 08/01/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 08/01/2010] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:08:00 08/01/2010] id: BSA el: 1033 cu: CCU cg: -1 v1: 1.77757 u1: m2 t0: [11:08:00 08/01/2010] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 68 u1: kg t0: [11:08:00 08/01/2010] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [11:08:00 08/01/2010] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: LUNG MASS LEFT/SDA t0: [11:08:00 08/01/2010] id: Service el: 1026 cu: CCU cg: -1 v1: TSU t0: [11:08:00 08/01/2010] id: Admit Ht el: 1034 cu: CCU cg: -1 v1: 63.5 u1: inches t0: [11:08:00 08/01/2010] id: Readmission el: 1014 cu: CCU cg: -1 t0: [11:08:00 08/01/2010] id: Marital Status el: 1006 cu: CCU cg: -1 v1: W t0: [11:08:00 08/01/2010] id: Religion el: 1000 cu: CCU cg: -1 v1: JEW t0: [11:08:00 08/01/2010] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [11:08:00 08/01/2010] id: Ext el: 1010 cu: CCU cg: -1 t0: [11:08:00 08/01/2010] id: PIN el: 1012 cu: CCU cg: -1 t0: [11:08:00 08/01/2010] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [11:00:00 08/01/2010] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 200 vu: ml t0: [11:00:00 08/01/2010] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 113 vo: 40 vu: ml t0: [11:00:00 08/01/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 117 vo: 8 vu: ml t0: [11:00:00 08/01/2010] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 210 vo: 95.625 vu: ml t0: [11:00:00 08/01/2010] id: .9% Normal Saline 250.0ml + 20mgkghr Doxacurium IV Drips el: 1 cu: CCU cg: RN ai: 499 vo: 21.25 vu: ml t0: [11:00:00 08/01/2010] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 20 vu: ml t0: [11:00:00 08/01/2010] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 416 vo: 1 vu: ml t0: [11:00:00 08/01/2010] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 431 vo: 3 vu: ml
t0: [23:00:00 08/01/2010] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 08/01/2010] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 08/01/2010] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 2591.1 ap: none t0: [23:00:00 08/01/2010] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 3341.1 ap: none t0: [23:00:00 08/01/2010] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 326 ap: none t0: [23:00:00 08/01/2010] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: 3015.1 ap: none t0: [23:00:00 08/01/2010] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 326 ap: none t0: [23:00:00 08/01/2010] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: 6808.5 ap: carryForward
t0: [08:00:00 08/01/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [08:00:00 08/01/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 08/01/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 08/01/2010] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 08/01/2010] id: HOB el: 0 cu: CCU cg: RN v1: Flat in Bed st: NotStopd t0: [08:00:00 08/01/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [08:00:00 08/01/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [08:00:00 08/01/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 08/01/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [08:00:00 08/01/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 08/01/2010] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [08:00:00 08/01/2010] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 22 gauge st: NotStopd t0: [08:00:00 08/01/2010] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 14 st: NotStopd t0: [08:00:00 08/01/2010] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [08:00:00 08/01/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 08/01/2010] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/01/2010] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/01/2010] id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 08/01/2010] id: Imp Skin Cleanse #3 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 08/01/2010] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 08/01/2010] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 08/01/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 08/01/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 08/01/2010] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 08/01/2010] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 08/01/2010] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Arm, Left Lower st: NotStopd t0: [08:00:00 08/01/2010] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Arm, Right Lower st: NotStopd t0: [08:00:00 08/01/2010] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 08/01/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/01/2010] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 08/01/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/01/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 08/01/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 08/01/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 08/01/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 08/01/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 08/01/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 08/01/2010] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 08/01/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/01/2010] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 08/01/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/01/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 08/01/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 08/01/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 08/01/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 08/01/2010] id: Speech el: 0 cu: CCU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 08/01/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [08:00:00 08/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: Airbed/Kinair st: NotStopd t0: [08:00:00 08/01/2010] id: Turn el: 0 cu: CCU cg: RN v1: Proned st: NotStopd t0: [08:00:00 08/01/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 08/01/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 08/01/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 08/01/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 08/01/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Anesthetized st: NotStopd t0: [08:00:00 08/01/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [08:00:00 08/01/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 08/01/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 08/01/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 08/01/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 08/01/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 08/01/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 08/01/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd t0: [10:00:00 08/01/2010] id: HOB el: 0 cu: CCU cg: RN v1: Flat in Bed st: NotStopd t0: [10:00:00 08/01/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 08/01/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 08/01/2010] id: Therapeutic Bed el: 0 cu: CCU cg: RN v1: Airbed/Kinair st: NotStopd t0: [10:00:00 08/01/2010] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd
t0: [11:30:00 08/01/2010] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 13.4409 u1: ml/cmH st: NotStopd t0: [11:30:00 08/01/2010] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [11:30:00 08/01/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 1 u1: torr st: NotStopd t0: [11:30:00 08/01/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 65 u1: cmH2O st: NotStopd t0: [11:30:00 08/01/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [11:30:00 08/01/2010] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 2.3 st: NotStopd t0: [11:30:00 08/01/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [11:30:00 08/01/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [11:30:00 08/01/2010] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [11:30:00 08/01/2010] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 14 st: NotStopd t0: [11:30:00 08/01/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 8 st: NotStopd t0: [11:30:00 08/01/2010] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:30:00 08/01/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 30.3 u1: cmH2O st: NotStopd t0: [11:30:00 08/01/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [11:30:00 08/01/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [11:30:00 08/01/2010] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [11:30:00 08/01/2010] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 57.2 u1: cmH2O st: NotStopd t0: [11:30:00 08/01/2010] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [11:30:00 08/01/2010] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:30:00 08/01/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [11:30:00 08/01/2010] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [11:30:00 08/01/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:30:00 08/01/2010] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [11:30:00 08/01/2010] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:30:00 08/01/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [11:30:00 08/01/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [11:30:00 08/01/2010] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
tf: [00:00:00 10/01/2010] pt: IV Piggyback rt: IV fr: Q8H fs: 12, 20, 4 dn: 3 m1: Piperacillin-Tazobactam Na f1: INJ v1: 2.25 u1: gm m2: Iso-Osmotic Dextrose f2: INJ v2: 50 u2: ml
t0: [11:30:00 08/01/2010] id: Art.pH ABG el: 0 cu: CCU cg: RN v1: 7.33 rs: Manual st: NotStopd t0: [11:30:00 08/01/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: RN v1: 0 rs: Manual st: NotStopd t0: [11:30:00 08/01/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: RN v1: 27 rs: Manual st: NotStopd t0: [11:30:00 08/01/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: RN v1: 50 u1: mmHg rs: Manual st: NotStopd t0: [11:30:00 08/01/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: RN v1: 53 u1: mmHg rs: Manual st: NotStopd t0: [11:30:00 08/01/2010] id: Arterial pH ABG el: 0 cu: CCU cg: RN v1: 7.33 rs: Manual st: NotStopd